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Building Permit 11. 0980, 11.1014
n 000000 x o 0 S § = Oo 0 q §}k7�0 r 73 MOP § 0 2 \ 73 \ , Lill/ . /�\ez El��k �� \ r 71 ® § � ©�it Z 2 2GI � §� \ \ �� • SI Qi / %tt: t X* =I ��. S. Sc)> , ® / 0 \ z 73 ' 73 F i 000000 \ -4 \: O O A� ® t§r \ • I 2 m mII ?& mik n K \ § ° �§27�k q 2 {� q • % M ? J `_' ¢ 000 ® - ,- Z 0 ! 2 2 : 0 r �oo @ ' C E / \ t ' 011111 §77 0 § -1 0 Z r k k . 1 m ' . f . 4 NI k % 073 . i . § 000000 o \ � , `� �� � 2 1 &73732@ § § 1 > j0 tri \ \ • ' :_ _o _D ��®\ k m 0 ee 2 ---A \\ \ m qr o CITY OF PRIOR LAKE BUILDING PERMIT Date Rec'd .:(/// \,\�' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE cl 2 Z AND UTILITY CONNECTION PERMIT �NES� 1. White Pile 2. Pink City PERMIT NO. (� 0 3. Yellow Applicant / — (Please type or print and sign at bottom) ADDRESS ZONING(office use) INosy 51-ma')' 1 L Ni,. ._. LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) 14;Otedei7 \.)AL. 0-N t► (Phone) 1cy 52' rebs " lu o (Address) I 4 9.1 Sla ra°y ' i .Ll 112,alt. M.G. _ BUILDER (Company Name) ,`t.Q G( G.+A4 S IT OC,'�"1(S 4 (Phone) IS Z.'`13 5 —S 5$g (Contact Name) o`R (2...i4 f c L (Phon#6,l 2.- 80 u- 544 2- (Address) 140 1 SO U-rt, ?"n` 51-9.E.4-T, )-lcp v ism s, 111.N. 553L( 3 TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace 'Addition ❑Alteration ❑Utility Connection � � CODE: I.R.C.y ❑I.B.C. ( jMisc: 11941-'te D )e00t �� £.Y-1i .1510'4 Type of Construction: I II III IV V A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 2t0 000.- Division: 1 2 3 4 5 (excluding land) I hereby certify tha. iave furnished in. .ation 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- pr erty and th. /instruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can- ok is.ermit caus- urthermore,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 ,Z,Z I Park Support Fee # $ Permit Fee $ i.g C 5�1 SAC # $ . Plan Check Fee $ “C?,.5 Water Meter Size 5/8"; 1"; $ `- State Surcharge $ ( ( v Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ I Gas Fireplace Permit Fee $ TOTAL DUEdeu.67) c1 2-0.1/ $ (a Li,D 3 ThisA cation om our Permit Wh Ap oved,', y Paid (21' Dl eipt No. 6f 01---' //,,* _ siz u Date ?�'9i( Building Official Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonipg 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 Itir:.r 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 (cPRJp4 ti z n, White -Building `�INNEsooP Pink Canary -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT tw F (-1 1 r r�; APPLICATION RECEIVED . - a I 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: "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." ( PRi \� 9 U x White -Building �NNESO�P Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Piti TLC', Q 4i ( pJ APPLICATION RECEIVED y. Z,Z. _ / I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /44-54 5 Oy Accepted r,/ Accepted With Corrections Denied Reviewed By: Date: r77 I 1 Comments: "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." 4 P Rio CITY OF PRIOR LAKE Date Rec'd ° A' ic EATING/AIR CONDITIONING/FIREPLACE PERMIT Qt: i 'Mr rr (� (A) f(-78° 4(jMVEso° 2I. Pink Pile PERMIT NO. 3.Yello City //, /O� 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) i zi Lis ii 644.,d g k, 'rt---a„: 1 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLI mtd) (NameCANT� R to C CA.) (Phone) / 7 2! 933-4 7__. 3 (Address) 1)3 2-) 0 0 d 6l SU 11-e .2O0 `_ (Address) (City) _ W ll (Zip Code) (Contact Person) / ' - 0t4 i f ,S J (Phone) 54-'7 APPLICANT SIGNATURE g---)C. DATE g / '2 7-1/ APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑REPLACEMENT ZiALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Wa>rn Air PlantsPLEASE NOTE: Air Conditioner 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water p into Required Side Yard Setbacks. El Mechanical 0 Radiation :kir Conditioning 0 Special Devices Fireplaces with Box Additions or :Went.System 0 Other Devices Cantilevers to the Outside of Buildings `'^ - Require a Building Permit. . -. _ . , . , reloC&, r T1 - f\fl I C-�>L .- exierl d ex'54I sal y 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 $49.50 Estimated Cost$ I/5-CV Building Permit # The Minnesota Statutes§326f3.148 "SURCI IARGE"has been changed for HEATING PERMIT FEE $ Y year effective STATE SURCHARGE $ .50 .July 1,2010,until June 30,2011. TOTAL PERMIT FEE $ The minimum surcharge fora"fixed fee"permit (Office Use Only) is Sc,beginning July 1.2010 This Application Becomes Your Building Permit When Approved Paid SA- CD Recei No.!Cl ,fir q? Date G Building Official Date ,?A_ 1 ( ( By C‘ 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 ps PRIG 'P CITY OF PRIOR LAKE Date Rec'd 1.:\,, AN .?- HEATING/AIR CONDITIONING/FIREPLACE PERMIT f'�'NES��" r l ( W //— � 1, Pink Fa 2 Green city PERMIT NO. 8 045 3. Yellow Applicant (Please type or print and sign at bottom) - ADDRESS'' ZONING(office 1 L'H J t 5 1- N11NL) OW Pc use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID O (Name) C�fjl'" I-l) I V lN 'µ�� l ) (Phone) Sc( J 2,— 3 (Address) APPLICANT (Name) (Phone) FIMeM►i ilaM7111/rr MIs. (Address) MINN l700 N. � t (City) (Zip Code) (Contact Person) l74. u`' (Phone) APPLICANT SIGNATURE 4.. ,if it,,_ „ DATE 911.tO1 l\ APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL (// /1 ),t 3(,O FUEL /(16.— FLUE /vvFLUE SIZE 4l RETURN OPENINGS INPUT OUTPUT31 a� TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants ❑Steam PLEASE NOTE: ❑Gravity ❑Hot Water Air Conditioner Units ❑Mechanical ❑Radiation Cannot Encroach into ❑Air Conditioning ❑Special Devices Required Side Yard ['Vent.System �� ` , j ❑Other Devices Setbacks FIREPLACE MAKE AND MODEL 6 VW/�I -j co fi,,J%(g L3 FEE SCHEDULE Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $39.50 $39.50 minimum Residential,Heating&A/C(New Construction) $99.50 Residential,Additions&Alterations $39.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $39.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ .50 SO TOTAL PERMIT FEE $ .51i (Office Use Only) This Application Becomes Your Building Permit When Approved Paid P1-- -� i J-IN Redeipt No.(04,(, ) O Date //�� ` . .• By r Building Oft-ficial Date ( L 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 PRIORBUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS NATURE OF WORK At'a it ,o, USE OF BUILDING i-Es AR• PERMIT NO. DATE ISSUED 421 /it CONTRACTOR CZE%rLE e C i ,,s;T-kA.lcriod.l PHONE (lz-804 -544 Z NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE II«G I I I (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNEDI ROUGH - INS C FRAMING vM ' ld - 2C,--/( INSULATION 96 /1/0/ ELECTRICAL riiiiififiate HEATING (if required) 4 ra/(,)v FIREPLACE Olc et ' "xi GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I I I FINALS 1111111111111111kPrior to Sodding) ammemm •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