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Bldg Permit 14-412,Mech14.252,14.255,Plgh14.413,Fire Al 14.542, Fire Sprink 14.478
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I.Pink File PERMIT NO. 1/Ntvtiso1� /2.Green City / 4 ,..2_,5-2 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS /5 S60 p-)414 POIl itc4 St ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) /SD x'71 q (Phone) 9 SZ-2249-00Sy (Address) APPLICANT , (Name)_ -7 1LFJ 14,477A14f goo'/A4, /NC. (Phone) Ze-9Z,-I`t'91 (Address) P-7 Ll /37H c't. SC e /R4/ni&eD / Airy SG 1O/ (Contact Person) !CK .; C_!l'/ /VI c41-- / "447. oa(Phone) Z'9-ySY'4-61?y APPLICANT SIGNATURE DATE r//-/ APPLICANT PLEASE COMPLETE BELOW .5-Neer- per` ❑NEW CONSTRUCTION ❑REPLACEMENT jOALTERATIONS 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 ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity DHot Water into Required Side Yard Setbacks. ❑Mechanical DRadiation Fireplaces with Box Additions or ❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑Other Devices 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 $49.50 Cost$ 73 , sop Building Permit# IEATING PERMIT FEE $ 73 64.00 STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ 7370. 00 This -% I /4 n :ecolnes Your Building Permi 2_3 en p►oved Paid �7/37 0. 00 Rec ' No. 7//4_� I , �` Date / 23 . /� B 117+Ing Official - • Dat 4 . 24 hour notice for all inspections (952)447-9850 4646 Dakota Street S.E., Prior Lake,Minnesota 55372 eRro� CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT •. , 1:' litC s' t 4 -zSz ` I.Pink File ��NNESD�t2.Green city PERMIT NO. VA -255 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) /1/4/86o 5 A&h ' 120c ('finiAi S mi me sc 61 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (Name 0 1 9 (Vey% .6 e/1 o (Phone) 2 ZZ 6 00S / (Address) 1 c7 l/ /0(A?e/L VT• JE" et-t NL(4'e V.A 5-537 APPLICANT —7 (� (Name) U -O # `/ / (Phone) (Address) 7 SZ/0 weK 5'J" 5 6- `�t2t.t�e.I tee-- k& -s-5-3-72--- g (Address) (City) // (Zip Code)od (Contact Person) J WA, w0 (Phone) 9 Z- Z Z(D 0o511 APPLICANT SIGNATU - DATE '!//7//CI APPLICANT PLEASE COMPLETE BELOW 14 VAG E ,4>tote"/r ONEW CONSTRUCTION ,REPLACEMENT O 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 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity ,Hot Water into Required Side Yard Setbacks. 0 Mechanical Radiation Fireplaces with Box Additions or DAir Conditioning 0 Special Devices 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 $49.50 Estimated Cost$ ?oa9. 7 •Q 0 Building Permit # The Minnesota Statutes*326B,I45 "SURCHARGE"has been changed l rr one HEATING PERMIT FEE $ dil 0 05 '7° year effective STATE SURCHARGE 5 •0 .50 July I,2010,until June 30.2011. The minimum surcharge fora"fixed fee"permit TOTAL PERMIT FEE $ 0/ /� is`,beginning July 1,2010 (Office Use Only) This App'i,tit l ecomes Your Building Perm' Whe, Approved Paid q© fig-., 1¢ Receipt No.1 t' At I °irffi a►_� 4 - 1, Date it_/ 1 By Build +O'ial Dat, .Z_ � 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 „ ) - `1-/A--- C� -} r . •} SSu . pRlp �-- 04`,,,.F ,�► Date Rec,d r , CITY OF PRIOR LAKE PLUMBING PERMIT •. • . arISOSI' .. . s:Zed aiy PERMIT NO. (Please type or print and sign at bottom) 3.Yellow Applicant ADDRESS ZONING(office me) /114e ,cisA Art # . ail LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PM j • OWNER / (Name) /f/ieloin jcni .5".;:/►i./ ✓04-/a IV 7/ r1' (Phone) (Address) dir9/O d kit, j/ate/ .5--i-- APPLICANT fAPPLICANT / (Name) / �e4,41 /Ore /1°^'.ei / aIA- eks (Phone) I r:,2 . lt'. 4(e '8 (Address) /2 go q `o-,r,A/ /0./ // _8vrnf✓•'fit ref,,, ce—iP9- (Addre s) (City) (Zip Code) (Contact Person) r-e_ o`� (Phone) 9S1 - F 5'v S/,a APPLICANT SIGNATURE ________ ZeAA!” DATE �.1/. V APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher 3 Water Heater 02•. Floor Drain Water Softener Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall _ Backflow Assembly q SinksBackflow Assembly Test Bar Sink Lawn Sprinkler Water Closet(Toilet) Other The Minnesota Statutes§32613.148 Doli cost with a$49.50 min mum Residential,New One&rwo-Family $149.50 �" ARGE"hasbeenextended' • ' ' Residential,Additions&Alterations $49.50 The m itlintitin surcharge for a "fixed fee"permit Is 5.0O fre • .$./"/ " �# Building Permit# •PLUMBING PERMIT FEE $ /,, of ' " STATE SURCHARGE $ XXX 5.00 TOTAL PERMIT 1?EE $ /5 " ' (Office Use Only) • This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Datc Date By 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S•E,,Prior Lake,Minnesota 55372 "1"-KI0.0R/04, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT rNivss°� 1. White rile PERMIT NO. 2. peCity I1 , Q I r� 3.Yell ow Applicant L� (Please type or print and sign at bottom) ADDRESS ZONING(office use) iS'8(-D risk Fuer g,n*, 5.T. LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) PR JOIL LMt-e- - S/3ct k( t 5clfuot,.S (Phone) 9 52-.24Z6 -06-67t (Address) 4510 TOW 5'nz,Le T $'� BUILDER 77�—Ow Name) I3GkAt >- b , 1 !- (Phone) 657- (Contact Name) lc IR - ft O1 k.I (Phone) 1!f/ Z3 `8133 (Address) 25110 7' A ` l u I /5A-sr 1`3D/ //hoC-65-K/ e c p l,(..),C.0 en _ TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofmg ❑Re-Sidnrg ❑Lower Level Finish ❑Fireplace ['Addition $Alteration ['Utility Connection F,d,,X 1444,,.. a 44.Np.t„._ CODE: ❑I.R.C. t.B.C. 0 Misc: Type of Construction: I eg) III IV V A q JO Occupancy Group: A B F H I M R S U PROJECT COST/VALUE $ "Gd, $83 Division: 1 2 3 4 5 (excluding land) I hereby certify 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-mentioned property and that all construction 'll conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can rev ik�e,, his per t for j use. urth ore,I hereby agree that the city official or a designee may enter upon the property to perform neededinspections.C X Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ 3` ' >L:15- SAC # $ Plan Check Fee $ 2-5 23.19 Water Meter Size 5/8";1"; $ State Surcharge $ Z 155. .5O 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 $ ‘)7a2 ,o4 et44(c-ti/ 6-43/4-- This Appl' . ion Be•o, e• of -Building Permit When Appro d Paid Receipt No. (..._Date By BuildingA:CrAddiii/ IIPP--"lieftt. 5-23 (4 /3/44-1 *(Pt4Al"-e- P4-40 409. Lc �h� '/ vr Offic 1 Date .1-S 7741-6-64,4Q f<'F iiert74/ 61V ;A('14- 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. ocument 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 Dakota Street S.F.,Prior Lake,Minnesota 55372 (� <16-A05 A/ 6(a . 4riyi- ovit, CITY OF PRIOR LAKE Date Rec'd .� _X ` HEATING/AIR CONDITIONING/FIREPLACE PERMIT r I.Pink File PERMIT NO. iiia Esoi 2.Green City !� 2 3.Yellow Applicant ►� I J (Please type or print and sign at bottom) ADDRESS d ` �� ZONING(office use) /cGGO Aft AY" 1Za / LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) /r/ol/ , ,Ai'i .3;A•./ V's'AW !fri" 7/9 (Phone) (Address) 4/ VVG o^i.✓/i f/rcc / ..tom APPLICANT (Name) ///lev ,e ,ilecA,,,/e. `e . / -.,4c A•5- (Phone) 9IA G' • e / a• q e e 8 (Address) /2 q 0 1' (04. /, Al // Vv�rr✓i m ✓h,v s'',t -:,u 7 (Contact Person) - r/ //411. (Phone) q..fo.'. e Ile,. `//6# APPLICANT SIGNATURE �___ DATE .7. 1/. /V APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION ❑REPLACEMENT ALTERATIONS FURNACE-MAKEANDMODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑ cavity �1Iot Water into Required Side Yard Setbacks. Mechanical ❑Radiation Fireplaces with Box Additions or Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings CI Vent. System ❑Other Devices Require a Building Permit, FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial&Multi Family 1%ofjob 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 $49.50 Cost$ 500/ode". mo Building Permit# HEATING PERMIT FEE $ .cOGG STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ S"O o 1".. 0"X �.4t-- -C4'J C L 3 • ThisAppl' iin ! •.ct,i •s Your Building Permit len Ar 'roved Paid .Scie 5— c2) Receipt No.7(4,62 ttiidiug Ofilcia Da • Date :;" 3 /4- By MINI 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 i (..-sPRIO� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE rrs AND UTILITY CONNECTION PERMIT �' �� jArN E SS0 I.white City it 2. Pink CPERMIT NO./4 4,,7i3 3.Yellow Applicant • (Please type or print and sign at bottom) ADDRESS T.-)1 A OAK-.S M Vt)D1-S. 'C OO ZONING(office use) 15814,0 Ft.s Po k NI - Ro .7 SE, zeta Mr.) s5372_ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION Pu) OWNER (Name) Rz,o . . /`54:,JA*c., . mss-t_ Sc,.;r; 1. 1 S'C> -719 (Phone) (Address) 15 BL o �LS'.r i. .:bt t-Yr Z"3.e41,S E.. , P(c,, t L to.,p...1 5"f s' -12 BUILDER (Company Name) C-loZ., g ('"-ra i I,A (ytr"L?,4 tJI..<°<L 1 IA ... (Phone) 324)- tti,9 -I L t` . (Contact Name) M\C-HAS- C) E. S (Phone) 32-0- 4::.7 - 4,4O (Address) i3$1 E fig, r A4rAwiLot, r"rlf SS0 S 1 TYPE OF WORK 0 New Construction ['Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace ❑Addition ErAlteration ['Utility Connection CODE: ❑I.R.C. BI.B.C. 0 Misc: Type of Construction: I U III IV V ® B Occupancy Group: A B J H I M R S U PROJECT COST/VALUE $ t%10.00O .V,-- Division: Division: 1 2 3 4 5 (excluding land) I hereby certify 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-mentioned property and 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 can revo a this ern' for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X C035 4-2.9- 1 4 Signature Contractor's License No. Date Permit Valuationc:),:-) Park Support Fee # $ Permit Fee $ 1 I I i4 c? SO SAC # $ Plan Check Fee $ WO , I p Water Meter Size 5/8"; 1"; $ State Surcharge $ 56I 00 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 DUELM 6,- , /,/ $/9:3 4E1 616 d Pt-H-12 This .pp . '.. :ecome/ our Building Pe 't Wh n Approved Paid 195 ." ,(0,8 Receipt No. '7 I�J-('`f t/4 �. /► s Date . ..c4/LA-6,,,G�_ (C By til,�..c4/LA-6,,, 1 � tf ildin: •fficial 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 Dakota Street S.E.,Prior Lake,Minnesota 55372 RNO PRIOR LAKE BUILDEPADINGTMEA NDT INF SPECTION INSPECTION RECORD SITE ADDRESS j�tr®O hsi& Potr-1T (RD S• E NATURE OF WORK — - of1/4-I;S c I 0 USE OF BUILDING (c. ,� g PERMIT NO. ISE - 4 t 2 DAT ISSUED -“4. CONTRACTOR - j ,G L_ LC PHONE 65 l INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING t s. ,(, P G 14Jrq FOUNDATION (Prior To Backfill) b �� 672,-/"/ PQ- 6 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED '"`' ROUGH - INS 111111111111111..11.111111111. FRAMING INSULATION ELECTRICAL ,� as 211111111111.11S ri 4a.v T a �G y 23[ V 1--y Jc `c .:1 mew* - -t- . • , v ' " , T' ik Sec tt Z g.„041...4 •• 45 K'fi COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED 14111111.111111111111* MIMS FINALS RBUILDING � ,pPk ELECTCAL T,41 yet, +. t ,� ,R.... PG?�KL e/Z /t'( Poi* Hv -r P6 i 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. 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