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At ' '' . e7A,Cr7 aPAQ neh SY.- 7.2 g 1 s_Z) LEGAL DESCRIPTION(office use only) LOT I( BLOCK ADDITION ffok. 14- 6, C,EV PID 2%r.-040**Ool 4-0 kOWN(NamER /? �'C 101%"4 L (Phone) 67D ---"?1/- Yi90949 (Address) f cf gr ,,Q //1/tn 41...„ 947,Asi fr9 7a BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace ['Addition DAlteration ['Utility Connection CODE: LR.C. ❑I.B.C. 11 Misc. A0 5360 611)12 , Type of ouction: I II HI IV V A B l` �,� Occupancy Group: A B E F H I M R S U PROJ�/VALUE $ E (excluding land) Division: 1 2 3 4 5 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 yoke this permit f ist cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X "el— Signature Contractor's License No. Date Permit Valuation 0 ate Park Support Fee # $ Permit Fee $ f 3 it. SAC # $ Plan Check Fee $ -2—°[, 1 g Water Meter Size 5/8"; 1"; $ State Surcharge $ 1 _ •— 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 C f.1}j (p, .4'„ 15 $ 5\'j h 0 t This Appli iiir� comes 1iQur Building Permit Whe Appr t ed i' �� ' . \Q Receipt No. M9 q /® 5? ��6 2 / 1-te4 . q 1< By ins Official 9 ate This is to certify that the request in ve applicati and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner co.stitutes a rary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. e...../ ,,,.... /"; 'ling Direct V Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 ) 4,04 PI2I04, CITY OF PRIOR LAKE Date Rec'd .:-.4i HEATING/AIR CONDITIONING/FIREPLACE PERMIT 4:1. .s1" t,-1 -7,J(/(-__ 7 1. Pink File 2. Green City PERMIT NOr� /5`/14_7 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS llr ZONING(office use) s-y 85 s'4"-e- 7--/--4-.' 1 /1) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER / (Name) /ya�,f"-k R &`a-i'7 al (Phone) 6/2.- 7s/- .- Yc2n (Address) col/9 S Aa r-e.„ /t-cl:.,./ .,/, APPLICANT (Name) /,eie Jc- Smti S Plsi ni 6,°.43 (Phone) 3• `/7S• c22 6 (Address) 3 WO �i%'bide-r- �et-ete., /4> ipmso o MA) 11/*7 (Address) (City) (Zip Code) (Contact Person) /1 r'1 / (Phone) 7‘3. V 7S• D2P APPLICANT SIGNATURE 2 DATE 9 " Z 3-/S APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑REPLACEMENT Yl.ALTERATIONS FURNACE MAKE AND MODEL FUEL lrza-S 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 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning 0 Special Devices [Went.System !8I Other Devicesdin gQ,5 /i nG Cantilevers to the Outside of Buildings fyB� me. 6 st‘reage„ 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 $49.50 Estimated Cost$ $©O . 00 Building Permit # HEATING PERMIT FEE $ VF...S`O STATE SURCHARGE $ 1.00 TOTAL PERMIT FEE $ Sb..rd (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 5 Receipt No. . 454_ Building Official Date Datv, Z�fS By/ilk__ 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 R/9� x'713 AV �ff�s, � CITY OF PRIOR LAKE Date Rec'd t-71f j HEATING/AIR CONDITIONING/FIREPLACE PERMIT , 12,1 g,, f� `�'NESO • 2. Gr1. Pinkeen FCity /5 PERMIT NO. / 325 / 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) e lIC( 14C,� — _. 1 S . . LEGAL DESCRIPTION(office use only) �� / LOT /l BLOCK ADDITION /2j02-6 p �J tj�i� PID Z O O- p Q OWNER l l — 7S/—ge-t�' (Name) M a✓IL-- aw cc vcid (Phone) 1 (Address) APPLICANT ----------- (Name) Mr.a■ v (Phone) .jt It11 (Address) dEa�ir�G x,�H CONI'll ortNta INC (Address) (City) (Zip Code) .J G N 7402 Washington Avenue (Contact Person)t2c e Eden Prairie,MN 55344 (Phone) 952- 1-1044 APPLICANT SIGNATURE DATE /r- — 5 APPLICANT LEASE COMPLETE BELOW ['NEW CONSTRUCTION ❑ REPLACEMENT ®ALTERATIONS FURNACE MAKE AND MODEL ilea)j fue_ � /6 17 FUEL /-ea-if des' FLUE SIZE Kea "T 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 ❑Hot Water into Required Side Yard Setbacks. 12 Mechanical 0 UG Tit>sg El Radiation ZAir Conditioning rt c n/c .510U-7 ❑ Special Devices Fireplaces with Box Additions or ❑Vent.System A—t/.-- ❑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 $49.50 Estimated Cost$ Building Permit # r,7 HEATING PERMIT FEE $ STATE SURCHARGE $ 1.00 TOTAL PERMIT FEE $ f (Office Use Only) This Application Becomes Your Building Permit When Approved Paid - Receipt No. 3 1 Building Official Date Date j `4 By ,,,.57.75 24 hour notice for all inspections(952)447-9850 Re 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 �F� r:-i __..,. f,..,-"l( / li '':,. 4;4 E:17''. ..7 :-1.,-7.1 Li L: -. .1 i..7771',-.7. i---:-A3,-7-1/11177 /c/f. /r- ic..)v 11 ,z)tr, \ 4,---,--7-----,-',T, 'VNES"° 3. Yellow City ERf 1i 4 No. 3. Gold Applicant (Please type or print and sign at I>ottoan) ADDRESS r ZONING(office use), LEGAL DESCRIPTION(office use only) /I f,) LOT /( BLOCK ADDITION / 2O I /4 5ha6-L PID,R130)- e.941-e2 OWNE1 (Name) Dt..i_ie?/y)lX (Phone) 9 05" 7`?a?/1 (Address) k� �.5 /J/1 t,04 r J/�.�.i�) /1/Z 011AE,,Orkaiae > S 7c . (Address) (City) J (Zip Code) APPLICANT �, f n`" (Name) . Ti,r�i�1 .!c 1yeli J. /Im r-1 (Phone) 951.a l'1Jn J—.5d/&, (Address) _ '521 V ?..P.e- u ) �- GL.Q/ ,i •-- :O/�(Addres ( J (Zip Code) (Contact Person) (---- ",)-7.0.," ) (139---ZZ, J (Phone)dp��`So9-ay99 APPLICANT SIGNATUREe-- ,..4:-/-,,,:,,c7-7-)<2.4/-------Th /5 DATE 91/1/ APPLICANT PLEASE COMPLETE I EL$W Size of water service /1 inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC VC Cast Iron Estimated length of sewer line 6/3"-- feet. Clean out (if required) located at 4E6; feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial,Com'l&Multi-family 1%of job cost with a$51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit# SEWER AND WATER PERMIT FEE $ IIR STATE SURCHARGE $ r .50 4 TOTAL PERMIT FEE $ .r 4A . e6 (Office Use Only) This Application !:ecomes Your :uilding Permit When ApprovedPaid Receipt No. . l 1 ti_ 0 Date By Building Official Date .-1�` ` f, 24 hour notice for all inspections(952)447-9850,ffax(9 2)447-4245\ 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 � p�0 U tri White - Building y� �P Canary - Engineering NNESO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 7#11_,(mi.. -f ,1C,a/ . APPLICATION RECEIVED .5 2.&, !!"' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 8S ,,z1/,,a)-7 ,./.6/ Accepted Accepted With Corrections Denied Reviewed By: Date: .7—r� Comments: A C£tC6i�4ti . (4,1k J /(L Z J y`�t v M7 "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." PRIOR LAKE DEPARTMENT OF ENGINEERING AND BUILDING INSPECTIONS INSPECTION RECORD SITE ADDRESS c4$.5 ::)tic.e1-• 1 N TYPE OF WORK T � USE OF BUILDING PERMIT NO. t 'S'%1 DATE ISSUE f-i-i-/ic BUILDER 6444 444.0 PHONE # &(z , 76-1-$ INSPECTOR I DATE I FOOTING 6,/.?//( PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING I '7 8 25 /6- PC) F//8 cS I FINAL dc E.'k& $ `q2q (5 FOR ALL INSPECTIONS (952) 447-9850