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4646 Dakota Street SE
Prior Lake, MN 55372
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January 22, 2016
William Robinson or Current Resident
14167 Parkview Ln.
Prior Lake MN 55372
RE: Building Permit#12-1396
In review of old permit files it was discovered there is an open permit for lower level bathroon. The last Inspection
was December 27, 2012. The City of Prior Lake would like your cooperation in closing this permit. Please contact
the city to schedule a final inspection by February 1, 2016. If the project has not been inspected by February 1,
2016 the City will deem the permit abandon and invalid per State Building Code R105.3.2
This will be recorded in the permeate public record.Any additional work will require a new permit.
Feel free to contact me at 952-447-9853 or to schedule an inspection 952-447-9850
Sinc ely
„14-71----
Paul Baumgartner
Phone 952.447.9800/Fax 952.447.4245/www.cityofpriorlake.com
f1t.
_ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z
Ea
AND UTILITY CONNECTION PERMIT it LO t'
443VAIESole' I. White File
2 Pink City PERMIT NO. I 2._ 1316
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
LH 6;1 Pte ,623 . k Pf Z 0 r NA,vJSS372_
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
A..... OWNER
(Name) 1 J.Yk 1,\ ,vv-‘ (L `o\ -LYI (Phone) (Ql Z. 118. 4f 2441
(Address) V"i 3 3 •E. I 3l e..-4—v.P Q KGCoC c , iZd t Pco 1 V ck(1 AZ- g5 :?,.3
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ['Re-Roofing DRe-Siding ower Level Finish 0 Fireplace
DAddition DAlteration ['Utility Connection
CODE: O.R.C. ❑LB.C. 0 Misc.
Type of Construction: I II HI IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI M R S U
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have fitmishe. • Irmation 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-mention-• • :•et and t t all c nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
Iofficial ca r ,oke ilii , t f,r just cat.c Furthermore t hereby ag a that the city official or a designee may enter upon the property to perform neededInspections.
X IP , 0, J�v`�' Y- `1 I l 11.....*
Signature Contractor's License No. Date
Permit Valuation l 000,--' Park Support Fee # $
Permit Fee $ 34-.1 -- SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ ,50 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 $ 35.25
This ' .plic. "oI pec' esYoul-Building Permit enAp. oved Paid 3,r. —' Receipt No. 'T�l'
Date 1 (2—oh-1.--- By Vr--
4t •dine Utti Date
This is to cc/ify that the r quest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when sign/.y the/ ity •'anner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued
Tanning DirectorDate 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 P RIOT Date Reed
CITY OF PRIOR LAKE PLUMBING PERMIT
Z.5
vr�rrsoia'
fi&C �//Z `/3 t
I.Blue pile PERMIT NO. .
2.YlApp /7 /7
(Please type or print and sign at bottom) 3.Yellow Applicant
/` �lJ
ADDRESS ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNERpRlavvx (,� n(Name) O t61 1(\ (Phone)(Q I�— i G 4 c1
(Address) 14\ (11 Pctxk. \-eta La k)
APPLICANT \ t v-�---�
(Name) (Phone)
(Address) >g '3 i ST ' 0 LI qf
(Address) (City) (Zip Code)
(Contact Person) %,•_ ‘l4 s C 61Z tope
{Phone}
APPLICANT SIGNATURE C ---"jDATE N ' 2-0 7.-b)'a
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
fr Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
It 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 est $ Building Permit#
"SURCHARGE"has been changed for one
year effective PLUMBING PERMIT FEE $ V9-.5-0
.July 1,2010.until June 30,2011. STATE SURCHARGE $ .50
The minimum surcharge for a"aired fee"permit TOTAL PERMIT FEE $ TV-.S D
is is beginning July 1,2010
This Application Becomes Your Building Permit When Approved Paid j—''''.7 U,r-o Receipt No.
77 !
`//24//2_ By
Building Official Date Date / / 1
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
PRI O R LAKEDEPARTMENT OF
BUILDING AND
INSPECTION
INSPECTION RECOR
SITE ADDRESS A\co 1 PAdaki—u-c.c5A-) z
NATURE OF WORK L0— L - �� �v�.t�--�•►-�
USE OF BUILDING VC--5 6-JO--
PERMIT NO. \z' ( cj 2 DATE ISSUED it (-47--
CONTRACTOR
l"--9 0t PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1-FOGTIN43— INSPECTOR DATE
I-F0UNDkT10NQ' 1ö1ackfiII)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEW -14-WA-TE E T1C
FRAMING
INSULATION
ELECTRICAL
PLUMBING _ 1�,/:?:
HEATING (if required) WC- 1
iiplaiONIONOMPasspi
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING 711/
ELECTRICAL
Jr!LP
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 addition's
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850