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(5 ,~oo ;Q =i ~ c ~ 0 -t 0 Z -;,;;,; - z c (5 ;l lJl Zee , ~"tl"tl 9 m z :'1 m r c c ~ ~ N 0 t ,.. :t :xl m ~ 0 0 e :xl 0 J < 000000 CIl m ~ Z :xl C>~"T\om 0 Z ,.. > >;o;oo~ -4 R- Cl ~mm~Cl "' c ~ < _"tl'"O'"O~ > ~>>>o ~ z >ooz:;; ""'l 0 _mm-t- ~ rn "~,, , -4 -l-- , i CIlZ Z "' -l~ Cl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Main File. ~tni~e ~:~y 3 Yellow Applicanl Date Rec' d g~a L/-OL! I PERMIT NO. O~(J9S1i ZONING (office use) (2) -00 llib w LEGAL DESCRIPTION (office use only) LOT 7 BLOCK E)I~~",+~ vu ~o'~-5 PID )5-- tl/ '1 ~O()7-.-o ADDITION OWNER (Name) rft(.J.. j .." J-,v Oe..,l""~~~,, {- (J Ik/(., tIJv'-k ~J L --\- F. J-v (Phone) (, St, t/{,J-t{fI 2j- (Address) BUILDER YJ (Company Name) f,q tr-'.". jV~ ) cA/ g/-evc.,f'l'ro-.._"- Co (Contact Name) -J?d....( E luA'S flQ,L..{ (Address) ~ 0 ~~ ~ -:h....,I (Phone) (Phone) ~,)- J - VbY - ClB-ZS- 'S-1-7~S-- l/B9</ TYPE OF WORK ClfNew Construction ODeck OPorch ORe-Roofing ORe-Siding ~Addition OAlteration OUtility Connection 0 Misc. OLower Level Finish o Fireplace CODE: [gI.R.C. DI.B.c. Type of dJnstmction: Occupancy Group: A B Division: B S U PROJECT COST /V ALUE $ (excluding land) I E II F I III IV V A HIM R 2 3 4 5 /) 000 erDO I I hereby certify that I have hlrnished mformation on this application which is to the best of my knowledge true and correct. I also certlty that I am the owner or authonzed agent for thc above-mentlOned 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 buildmg I "fficial c.an revoke this permIt for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the propelty to perform needed mspectlOns. ... . I X ~~{ ~ 'J../JD 21200 6-)..o.-()'v( Signature Contractor's License No. Date Permit Valuation Permit Fee TOTAL DUE Park Support Fee SAC # # Water Meter Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee D Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # 'Do,oe loa, Do 3~ S-o a,EJo $ $ 3-S-o,OQ $ Z.S-O, 0 0 $ 'f:;.CQ $ lZA!Jo,E)O $ 700,00 $ $ $ pplication Becomes Your Building Permit When Approved ,. ~ 9/tr~r Date ThIS IS to certIty that the lequest m the above appltcatlOn and accompanymg documents IS m accotdance with thea Zonmg Ordmanc when s ed by the City Plannel constltutcs a tempOlary Celtlficate of Zonmg compltance and allows constlucttO.~e 01 ISSU (' r rd U \.I\.:f ~ ~r-l t1 t/ Planmng DIrector Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 3~f,()7 ~. ~~~n ~i~y I PERMIT NO. O~, 0Ci.~1 3. Yellov," Applicant ~ ADDRESS 37?rr- n~ 'es;(~ ZONING (office use) /~A€ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I OWNER (Name) (Address) (Phone) APPLICANT/, (N ame) 19 <...5 L~:e ~(G.5 (Phone) 6 (2-- - r?cr - Y":z. C;/,.Z (Address) 4ve- (City) (Zip Code) (Contact Person) (Phone) DATE ~- -a? APPLICANT SIGNATURE APP ICANT PLEASE COMPLETE BELOW CONSTRUCTION D REPLACEMENT D ALTERATIONS FLUE SIZE TYPE OF SYSTEM RETURN OPENINGS INPUT FUEL OUTPUT FURNACE MAKE AND MODEL HEATING OR POWER PLANT DWann Air Plants DGravity o Mechanical DAir Conditioning DVent. System o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach into Required Side Yard Setbacks. Fireplaces with Box Additions or Cantilevers to the Outside of Buildings Require a Building Permit. 1\ND MODEL Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Industrial, Commercial & Multi-Family $39.50 $39.50 Estimated Cost $ Building Permit # ~vf pplO Or;r- gulf.; HEATING PERMIT FEE $ STATE SURCHARGE $ _50 TOTAL PERMIT FEE $ (Office Use Only) Buildinl! Official Date By This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 See Main FIle White - Building Canary - Engineering ~ink - Plann~ - Th(" Ct"nlt'r nf fh... Lake Count'1 BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT " -.' 1/ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / /~, 'II./'" , Accepted: ,. / Accepted With Corrections .';.-:\ ,to Denied Reviewed By: ~ ,... ~ Date: :l//V~y / f ..' Comments: MaiJrFile See ;; "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." See Main File - rhe (fnlt>r nf lhe takl' ("ountW1 ~ite - Buildins.=:> anary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT P~'l7(;;, iJeu: {j!p APPLICATION RECEIVED 8,- .d Lf --0 L/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;$ /l-1f- j}l/fJ~-f/C L.-"v Reviewed By: / ("~ .4JJ~ Accepted With Corrections Accepted Denied Date: r;pav Comments: See-Main File IThe 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." See Main File: The Crntt"r or the Lake ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT _...~/.?, I --,.-.... -'-'~:/'l':'.:<~'~"t---~'l'/""'/ ,) .<J' f~" }--}.,--\ / .," ,8- "-;) ", i ~. () LI ': ,/ ,/' ,-:-'~":'- ,-[.}'~ .:' t <'b APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: --:;> /7/1 ,,-;, 1 /1 - .'. / . --~. I / S,. / '/ /1 f .(~./. /' C.- <~,.,/L/ "":7 I / p", it,' Ie -~.- .'. !."; Accepted K Accepted With Corrections Denied Reviewed By: /YJ'J-6 S(~ /17c,1~ l' Fr/( Date: 2-/t-o,/ 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. 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