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Building Permit 11.1074
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Prior Lake,MN 55372 January 27,2016 Mathew Hawkins or Current Resident 17138 Stonebrier Prior Lake MN 55372 RE Building Permit#11-1074 there is an open permit for a lower level finish. in sh.The e last Inspection nsspthe ectio tywaas MarchIn review of old2014. filestitwasdiscovered11, 2016 the our cooperation in closing this per has not been inspected by February schedule finalThe ctio of Prior Laker would like If the project a final inspection by February City will deem the permit abandon and invalid per State Building Code deR05e This will be recorded in the permeate public record. Ayadditional will quire a new permit. t me at 952-447-9853 or to schedule an inspection 952-447-9850 Feel free to Contac Si rely / fiAiii,,, Pau Baumgartner i Phone 952.447.9800/Fax 952.447.4245/www.cityofpriorlake.com AOF PIlio CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Rec'd AND UTILITY CONNECTION PERMIT r�NESO /0, /Z 1/ 1 Please or 1 I White File riot and Si at bottom) ADDRESS 2 Pink City PERMIT NO. 3 Yellow Applicant // (�/� , \ 1 / C. ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION C OWNER ff C. PID (Name) CI t+ ,W , t (, i n (Address) (Phone) I -51- -771 BUILDER (Company Name) (Contact Name) (Phone) (Address) (Phone) TYPE OF WORK 0 New Construction ['Deck ❑porch ORe-Roofing ORe-Siding /, ower Level Finish DAddition OAlteration DUtility Connection CODE: ❑Fireplace I.R.C. EILB.C. 3 f Type of Construction; 0 Misc. Occupancy Group: ABE F II I MR SU PROJECT COST/VALUE $ I 2 3 4 5 (excluding land) 1 hereby certify that I have hrmished information on this application which is to the best of my knowledge true and correct. I also cern above-cannoned property and that all construction will conform to all existing state and local laws and will proceed in accordance with ofFcial can revoke this permit forjust cause. Furthermor certify that I am the owner or authorized that agent for the �� e�y agree that the city official or a designee ma X —/r` �, Y enter upon the toe P ubrnittcd plans. I am aware that the building P P rty to erform needed inspections Cure - 4 0 / Contractor's License No. Permit Valuation Date Permit Fee 3( 00G• O O Park Support Fee Plan Check Fee Water Meter Size 5/8"; 1"; 1.1.11111111111111111111 IUIIIIIIIIIIIIIIPenalty $ / Pressure Reducer Plumbing Permit Fee Sewer/Water Connection Fee # ,5- •S-b Water Tower Fee Mechanical Permit Fee 1111111111111111111111 Builder's Deposit Gas lace Permit Fee Other Firep TOTAL DUE This Application Becomes Your Building Permit When Approvedii S 5, i Paid aamej Dat . r . — �%�Ci� Buildine Official Date This is to certify that the request in the above application and accompanyings / when signed by the City Planner constitutes a temporary Certificate f Zoning�ompl compliance and allows nc nstrucdonCto common Ordinance Before and may issued. is in as ent occupancy,acCc�hficat requested. Occupancytmnst be Planning Director 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any 4646 Dakota Street Prior Lake,MN 55372 P RIp CITY OF PRIOR LAKE Date Rec'd " C HEATING/AIR CONDITIONING/FIREPLACE PERMIT ice - �► x city drlkso�Cr I.Pink File cit 7,7 z.Green NO. // U • 3.Yellow Applicant i (Please type or print and sign at bottom) ADDRESS ZONING(office use) � 17136 S-6 h ar rl �iu (`c\t ';7 J , TD i`lor LoS4, / MO 55 �j7'� LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITIONOWNER PID (Name) 1 G Ark W �^# (Phone) 61 c2-'5%I--7795 (Address) 1-71-j6 r'r4o,r C; (-AA- 5\.1•) Prizar Last Mt`1 5537 . APPLICAN 1 W (Name) ciT�M1C �C4(Ak—�rN, (Phone) 6 0--55 I=7 74" " (Address) I`I l3 t 540r.01t c LL^GIS Jtiki Pr;4r LA SG37..2 (Address) (City) (Zip Code) (Contact Person) (nn ork4A- & C--. . \/ t"5 (Phone) 6!2-S$)-7-79 t APPLICANT SIGNATURE -4/111"" DATE /0--1 ( I APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warn,Air Plants PLEASE NOTE: Air Conditioner ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. ❑Mechanical ❑Radiation ❑Air Conditioning ❑Special Devices Fireplaces with Box Additions or ❑Vent.System 0 Other Devices Cantilevers to the Outside of Buildings 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 $49.50 Estimated Cost$ Building Permit # 1 inuesota Statutes(326[3.148 HEATING PERMIT FEE $ ',•URCHARGF.;"has been changed for one year effective STATE SURCHARGE $ .5 July 1,2010,on 01.J tine 30,2011. TOTAL PERMIT FEE $ The minimum surcharge for a"fixed fee"permit is S5,beginning.luly 1.2010 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date • 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 p RIO Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ESD�A 1.Blue File PERMIT NO. ' I ,(6-7 rd �y 3.Yellow Applicant (Please type orprint and sign at bottom) ADDRESS ZONING(office use) '1t -0".49 $c r Ciex-Vit sk4/ P/'gar 1,4, 1M1\1 5S-57.2 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) t,.i C b ISA f S (Phone) 6/ v� 5 I--779 (Address) I- 5 W _54t)rlzi9rA c Gl i`e, f '3, pr-; to r L c k j M/•1 ,5537 oZ APPLICANT ,� d,a--5$1-- 7 7 9S(Name) �`� '�-�"0.� t A5(( (Phone)(f (Address) 17t SA-0 o��c ) C rC\Q SUJ (% lac S537tZ �,`(Address) (City) (Zip Code)p M(Contact Person) t?\'.`�`tV�R.t� C. 1-\41/.3V-i A5 (Phone) I t s -- n q D APPLICANT SIGNATURE ' DATE /0 — / --/ ( APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins N/' Dishwasher Water Heater N / Floor Drain Water Softener i Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) /ALaundry Tray(1 or 2 compartment sink Sewage Ejector Pr N Shower Stall Backflow Assembly /i Sinks Backflow Assembly Test N/A Bar Sink Lawn Sprinkler Water Closet(Toilet) Other FEE SCHEDULE Industrial,Commercial&Multi-family 1%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 est $ Building Permit# "SURCHARGE"has been changed for one year effective PLUMBING PERMIT FEE $ July 1,2010,until June 30,2011. STATE SURCHARGE $ fKVO The minimum surcharge for a"fixed fee"permit TOTAL PERMIT FEE $ is I5,beginning July 1,2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 o rnro CITY OF PRIOR LAKE Date Rec'd A.°f HEATING/AIR CONDITIONING/FIREPLACE PERMIT x. r I.Pink File PERMIT NO. h1/NNEsolt" 2.Green City 3.Yellow Applicant ILIo'14. (Please type or print and sign at bottom) ADDRESS ZONING(office use) 17/ 3? 6C1,t,ec t LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNERName t,Q, (Phone) CO`Z -' 9y (Address) 4...ef ,,,d)/ APPLICANT HEARTH & HOME TECHNOLOGIES I (Name) dba FIRESIDE HEARTH& HOME (Phone) (Address) Lic 662656 2700 FAIRVIEW AVENUE N (Contact Person) ROSEVILLE, MN 55113 (Phone) 651.6334664 l 042, )cr Li APPLICANT SIGNATURE PaAA,t/7 eto,.r ts4-ry DATE 2„—"L— I Li APPLICANT PLEASE COMPLETE BELOW 0 NEW CONSTRUCTION ❑REPLACEMENT 0 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 CI Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. ❑Mechanical ❑Radiation Fireplaces with Box Additions or ❑Air Conditioning CI Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL-t S1-R .,-G ��!! 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 $49.50 Cost$ Li OP.©d Building Permit# HEATING PERMIT FEE $ yq. O PAID WITH STATE SURCHARGE $ 5.00 BUILDING PERMIT TOTAL PERMIT FEE $ 511,3D This Application Becomes Your Building Permit When Approved Pai i wor. niiiMIMPPIIIIIEN0 - Building Official Date 24 hour notice for all inspections(952)447-9850 i 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRI R LAKE DEPARTMENT ART MENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS / /3(3 ,S'OiVEB/2./A/2- NATURE OF WORK L-OWE/2 L-EZ/EZJ USE OF BUILDING £6S fl/jam PERMIT NO. f/. I v7¢-- DATE ISSUED JO. /47,-8 CONTRACTOR NM/WC/ALS; M 'i-f W PHONE C&aZ. g9/_ 77 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELO THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 011111.11 I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH INS FRAMING yiO/i INSULATION La ELECTRICAL PLUMBING /� HEATING (if required) �1 3 /b IV • FIREPLACE �� 3 l d h J GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING Pit i 2 721' 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