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Building Permit 11. 1241
m 00 0 . C) 000000 7 0 > 2 § p 0 n 0 0 § 8200 0 m �/ k r / k k k II k k D k 0 Ca ^�m r , n . 2 § a 0 0 li O § i 0) 0 Z --I Z . 0 xi 0 7 ��• \ 2 5 0 E on mm \ 0 \ 73 11. 0 R4 r 0 - a $ 000000 17 \ Z 73` 0 0 M mm m A� � $ §/ v. k ® 3 � \W mzc W m 0 Cl) Z "Cin ENI z k o mg 0 ' 111 ill > o\0 0 m -1 ` / j ? Icc § m m : r.. 71 o 0 z 2 m \ o 0 lif �� 0 OA 000000 : Q �� n \ \ � , 0220§ lil _ 2 d 2 §q§® 2 Ari \ Z \ \k 73 \ rn r (c-PRic CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ti x rn AND UTILITY CONNECTION PERMIT ,o Z6 / yiP'NEsO1t. i. White File pERMIT NO. 3 Pink City // /'7 (Please type orprint and signYellow Applicant L at bottom) ADDRESS ZONING(office use) /500 5 ill 141,1-a u ii:). `P?... b,., L ieis,c) r2(P/1-R-ir / LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID 25: 654 o/0. 0 (Name) S krrt. 1-A? 0 w ts-R. S -�IQ-/C/ q \ (Phone) (Address) 15 o a S 'OiLi f40 4 b . 7g1 oP. ..,kk dz- (Company Name) ( 0-4'11/4,4*if- n . (Phone) (Contact Name) Rif.65 13 it L++120- (Phone) Lo/. -707- 4.307 (Address)1��0 63 4 f$Qt hr/L e-OLION-41 - YYht . cg-s3 71 / TYPE OF WORK ❑New Construction ['Deck aorch DRe-Roofing DRe-Siding ['Lower Level Finish 0 Fireplace DAddition ❑Alteration ❑Uttli Connection CODE: WR.C. DI.B.C. 0 Misc. Type of Construction: I II III IV V A BPROJECT COST/VALUE $ '5(1000 Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 I hereby ce/ 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-me .ned property .•• 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 revoke this•erPr just ca sy Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature Contractor's License No. Date Permit Valuation 71 t 400 _ Park Support Fee # $ Permit Fee $ '158 58 7 5 SAC # $ Plan Check Fee • $ S.1 Water Meter Size 5/8"; 1"; $ State Surcharge $ 1 (J 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 $ 2;6 91 - T hisA lication :. o ,es Your Building Permit en pproved Paid ��-S WRe pt No. / �� Date `�, j 6l f ?4, fir► X f5- If Building Otiicia Date 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 Ph ner constitutes temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. //-,C6=/1 Planning ector 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 of PR/04 ti v rn White -Building yI �P Canary -Engineering NNESO Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT fe. 4' `'6" /4 tf APPLICATION RECEIVED / 47 .E,', l 1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: • Accepted Accepted With Corrections Denied Reviewed By: Date: //— // Comments: yit rye#R • 1 A "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." 0� PRip� 9 t") x White -Building �'jNNEs°�P Canary -Engineering Pink -Planning • 'I P_ -MT ' PP I AT . ' P' ; NAME OF APPLICANT 4. D, 8!/!i//`'mV APPLICATION RECEIVED /0. 20, 11 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5-o0,5- /171=1-Ni-rot/ /2v Accepted v Accepted With Corrections Denied Reviewed By: A Ai At Date: Comments: "The issuance or granting of a permit or approval cifications and computations shall not be construed to be a permit for, or an app oval lans, o,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." Oi PRIo. NN u x rnINNEsoo White -Building Canary -Engineering Pink -Planning B ' _ P -MT . P• I AT •ND ' ' -T N 1 I NAME OF APPLICANT fe. D. /'U6iirj� APPLICATION RECEIVED / O. 2 . / The Building, Engineering, and Planning Departments have reviewed the buildin application for construction activity which is proposed at: 9 permit /5o f~ /`'J Nji / Q Accepted Accepted p With Corrections Denied Reviewed By: A Date: _/ f 1 Comments: + F "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." 'S ii"?Rjo CCITY OF PRIOR LAKE Date Rec'd �x HEATING/AIR CONDITIONING/FIREPLACE PERMIT it /g.// ic In'1VEsoo 1.Pink File 2.Green city I PERMIT NO.// /Z 41 I (Please type or print and sign at bottom) 3. Yellow Applicant (( ADDRESS urn % ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANTM A 1 p /� (Name) << 1\� ( f 2_ /( 'k - 00.04vvel (phone) 1 �' �� �P (Address) t S©Z' Mel h‘ :, Rlb I Map_ L.,atit ilAit\ S'SW71), (Address) (City) (Zip Code) (Contact Person) IV\ t *' ilk (Phone) eo t �(.0 (s'',7 APPLICANT SIGNATURE / � -. �� DATE / A 'PLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ['Warm Air Plants PLEASE NOTE: Air Conditioner ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water ❑Mechanical into Required Side Yard Setbacks. ❑Radiation q ❑Air Conditioning ❑Special Devices Fireplaces with Box Additions or :Went.System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. F '1 PLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercia 0 • . ' - . 1%of job cost Residential,Gas Fireplace $49.50 $49.50 minimum • Residential,Heating&AJC(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 § r_`___ 'Cost$ The Minnesota Statutes 326B.148 Building Permit # "SURCHARGE"has been extended until June 30,2013, HEATING PERMIT FEE $ pin 8 y The minimum surcharge for a STATE SURCHARGE $ .50 "fixed fee"permit is$5.00 TOTAL PERMIT FEE $ g tvie- • This Application Becomes Your Building Permit When Approved Paid • AIe. 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 PRIOR DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 1 ® S— rtfj" ( , NATURE OF WORK USE OF BUILDING PERMIT NO. DATE ISSUED « ,q t CONTRACTOR t712-AJ cam- PHONE (7( z-`70i NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I INSPE••� DTE I FOOTING I I077" 3EGiffemomprior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - I S FRAMING INSULATION ELECTRICAL HEATING (if required) FIREPLACE GAS LINE AIR TEST / i.: t ia %/,'r COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS I t l tO R d���eddtng) .BUILDING ELECTRICAL 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