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Building Permit 11. 0310
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LEGAL DESCRIPTION(office use only) PID LOT BLOCK ADDITION OWNER, - J `r<4,--) (Phone) S�" a 7- 6 (Name) ' C (Address) �� 0Qa t c 1 , SL or L C SJ 3.72- ammillille BUILDER (Phone) (Company Name) (Phone) (Contact Name) (Address) TYPE OF WORK 0 New Construction ❑Deck ❑Porch ORe-Roofing ORe-Siding . ower Level Finish 0 Fireplace ❑Addition ['Alteration DUtility Connection 0 Misc. CODE: DI.R.C. ❑I.B.C. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (excluding land) 1 Division: 2 3 4 5 e and . I also certify I hereby certify d pt t have and that all contra tion will conformhis on which is to theto all existing state and loest of cal laws and willy knowledge tproceed neaccordance with t submihat I tted plan owner the I amauthorized that the building above-mentioned c ntievok property and that d �// official c revoke this unit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. I41 N Date X Contractor's License No. Signature Park Support Fee # $ Permit Valuation 4- 0 o o •0 $ Permit Fee $ s7. 2-45- SAC # $ $ Water Meter Size 5/8"; 1"; Plan Check Fee State Surcharge $ 1. 0 O Pressure Reducer $ $ Sewer/Water Connection Fee # $ Penalty # $ $ ��, �D Water Tower Fee Plumbing Permit Fee $ ©- Mechanical Permit Fee $ Builder's Deposit Other Sewer&Water Permit Fee $ / $ TOTAL DUE Gas Fireplace Permit Fee �¢-, J,`v Rece;,a No. Wail- 11111111111 This Application Becomes Your Building Permit When Approved Paid .9e 7-5-- B Date 4L, -/7411111111111111 jIIIIIIIIIIIIIIIIIIII Buildine Official 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 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 47-42 - 4646 Dakota Street Prior Lake,MN 55372 04/16/2011 07:19 6514637635 EARMINGTON PLUMBING PAGE 01/02 Date 'd 01-x ,44 • Coit OF PRIOR.LAKE PLUMBING FERMI' ditawro5 ' PERMIT NO. 2.odd City 4!. east .n at tudeco _ zo (}(*ramose) ADDRESS er LONE.DESCRIPTION(officeuse only) PID .. LOT BLOCK AUDITION iNEIt Wit �U �A (` Yl .�--�-_— ()?hone) {Mame) V_�•,r P_ puni Ammon. �, � (Phone) t '� .kit ► #eve cka4. Code)(Addaress) .�� (Address) (City) (ContactPtrson) J.; .. - , • , � , I � _ DAV •�— — A.MECAI T SIGNATURE _ T ,R . APPLICANT PLEASE COMPLETE BELOW T ,e of Fixture1 , ;ad . ,eofFi ire Bath Tub with or witho4 shaver1 I .14m_,• - - Water heater Floor Drain. Water Softener —' Divot) -athroomSink StIndPine ff(A_ Machine) - Scwa_e Ejeetox Launch Tia 1 or 2 coir•: „e»t sink $ovaBacklow eActo li_ Sinks Stall .� Backflow Assembt Test B S M _ Lawn SEtinkier _ .._ - BaxSink ...._.- Other o . • -Ow)/ Water Closet adL y >a, ar wa e�W- ppiP), ° -rFEE SCa1vIn. lndustrial.Commercial&Multi-family 1%ofjol'603*with u$49.50 minimum Rssidcntial,Ncwone& a-Family $149.50 Resideati td,Additions&Alterations 549.50 t i .-1St $ �ttildingPermit# , •.-• The Minnesota Statutes f 3261l,14R PAID WITH "SU(Zt:1tf1RGyenrof�Ctivo has been otnsrge;41 Por one numa NG PERMIT FEES y .tgly 1,2010.midi June 304 2011. STATE SURCHARGE $ . ^ The mrn um surcharge for a"Dud Fee"permit TOTAL)Pi 1 E' S S� U n r u if Pa���',�,A)-T� ' """ ix be3tn*ingJuly 142!16 --- itcc—This Application Becomes Your Building Permit When Approved E.d_ ti0 _ j By _ �ttizui:catncia�t Date � 24 hour notice for nll inspecilons(952.)447-9850,fax(052)447-4245 4t�t4ti Balcota Street S.B.,Frier Lake,MinneaotA 55372 04/16/2011 07:19 6514637835 EARN INGTON PLUMBING PAGE 02/02 __ I r f CITY OF PRIOR LAKE Date Rrtd , Pa ' CONDITIONING/FIREPLACE , , BEATING/AIR CONDII � G/FIEPLA k ,�r.,:;...:.ti:�• 4.Tint T4s NV t 2 preen i;g L ! 1LO o r + a s�t�It i�actoa+l . ZOivINa Offx e use) �ADDRFSS . i4. W vzta ' `fir _________ _ _____________ 1 • AL DESCEIPTION(offiec use only) _w LOT BLOCK t DD '14 PLO ; a�.,zc iyhot e) _ CIS, 1 (Address C,If` f` Z 1" - AP].']f ICAI iq6q '.. _ ( hone} . n i�. (Name) — . Address) ,G D 9 .,t� .f - II v (C r) ( ( ( c) (Phone) - (Contact Person) . ", 01 sATB `. . .p^ .PPLIC.A.NT SIGNATURE _ _ , APPLICANT PLEASE COMPLETE?3EuDW ... .. NEW CONSTRUCflION ❑REPLACEMENT 0 ALTftRATIOP4S FURNACE MAKE AND MODEL.. ._ ,,------r . FUEL____ ,� - FL• FLUE SIE RETURN OPENINGS INPUT- OUTPUT , TYPE SYSTEM IEiF.P1�TA Cs OR BOWER PLANT PLRASE NOTE: Air Conditioner [1Wsort Air Plants 0 Steam Units and Fireplaces Cannot Enema& Cloravity 0 Hot Water into Required Side Yard Setbacks. ©manias' Radiation Fireplace::with Bat Additions or ]Air Conditioning Spacial Devicesi►� Cantilevers to the Ontsideof Buildings • Ovens.System Other Devices „ Require a Building Permit OtotL `i vt "i1110 ir" '7._v i ri. CA V4 0 I. .4 ovi $'.•r' 4 J A.tn. Bi SCHEDULE •x49 5Q hi atrial,Cost rr!n ii-Family 1%ofjob coat Residential,(las Pircpinee $49.51)minimum $49.50 Residential.Beating&A1C(New Construction) $149,50 R•esklential,Additions&Alterations $49.50 Residential,Heating Only(New 0gm:traction) $64.50 Residential,AC Only t PsiimatedCost S Building Pei i • ,� �` Minnesota Statutes 326Bl48 �' y-``'`SURCC ARCS has been changed for one HEATING PERMIT� $ )' year effective S .ATE SURCHARGE au— .50 July 1.2010,milli Jane 30.201 I. TOTAL PERMIT PEE S Tnentinitnnm sulebarge fora"fixed foe"permit • (011lee Use Only) Is$&hpInning July 1.20111 This Application Becomes Your Building Permit When Approved Paid ReoelptNo. Date By _. .-iieHtfee Otfieial - Dina •� f 24 hair notice for aR faspectiatu(352)447.985U,fax(952)447-4245 4646 Dakota Stmt S,E,,Prior Lake,Minnesota 55372 Residential Building Permit Checklist Basement Fini i ' II • 'I •. • ' ' -• • ': „i y Homes BY: Date: 454, Z-1. // Building Permit# j/,3/0 PID: Zoning: Site Address Legal: L B Subdivision: Existing Structure r NO CONFORMS TO ZONING YES NO ORDINANCE YES NO Is this an expansion of the existing footprint or Refer to Planning building height? ✓ Is the property located within the flood plain? Refer to Planning Does the alteration include any additional kitchens? Refer to Planning r Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? ✓ Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single family home(office,group home,day care,etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED.IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. } L:\TEMPLATE\ALTCHCK.DOC DEPARTMENT OF R 'OR LAKE B BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 14Z* OVeiedOit. ,D'uve NATURE OF WORK L014/02._ L6Ve L USE OF BUILDING ReT PERMIT NO. 3/D DATE ISSUED 2.9. 1/ CONTRACTOR VDU ST VeNSo// PHONE 2.37. 4.173/ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ounew I liammaimmilw PLACE NO CONCRETE UNTIL ABOV-E-HEN SIGNED ROUGH = INS FRAMING 1/2 1~ L J INSULATION J l/ ELECTRICAL PLUMBING VI U C, Pt? CM( HEATING (if requir ) // FIREPLACE GAS LINE AIR TEST Vek. iv OVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING 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