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CITY OF PRIOR LAKE
~tparfmtnf nf ~uil~ing JlnSptrftnn
fZl Final Permitted
D Conditional e.O. Expires
, I
This Certificate issued pursuant to the requirements of Section IIO of the 0 Residential / 0 ln~ernatiohal
Building Code certifying that at the time of issuance this structure was in compliance with .the vaJwus
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification ,.5I/f,:t..t:: /->I/"ILY Bldg. Permit No. (/(;,. 62..!/
,
Occupancy Type
,e3
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ft:--tN.:..-:.>i
Type Construction VA/' Zoning District
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Site Address rfl7q (JJ-Ik'k Vie {&,/ LN.
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I ~ (/ l5: /'/l-t f\/;J,;/") H'( /';6. 5
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!/ ;luT(~ 1/'{5" 1~/ )City Planner
Building Official / V /
,Thl';{ lC:ti/):)/CI<..
Legal Description
Owner of Building
Contractor's Name & Address
Date:
I.
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.
I
,
Date:
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14179
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See MaIn File
LA.
LOT" BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION Se ttc.r
Date Rec' d
3; 9. 06
t-V/D
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 0(,. 0 z. I J
N~
ZONING (office use)
p(/sLJ
PID ~5 - i() ') - 03'( - ('l
OWNER
(Name)
Bv. lde.-
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
We-^-..{ M~~...... ~ o"",,e. )
Ou",,,:r R. SJ,"t.-Jt"r
qr PlAZA ()"..I~~
b S-J - L/ 06 -- l( L{ 00
6 \~- 3bt1 - )~.) \-f
Mfo/ S. ,
TYPE OF WORK JXNew Construction ~Deck OPorch ORe-Roofing ORe-Siding ~ower Level Finish ~ Fireplace
OAddition OAlteration OUtility ConnectIon
CODE: ~I.R.C. DI.B.c. o Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST/VALUE $ 13 D. 000,0 [)
(excluding land)
I hereby certify that I have hlrmshed Information on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or authouzed 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 revoke thIS permit for ust cause Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed InspectIons.
<t) ~____ L- ..
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Signature
10" .00
00. Do
3S-,5"0
J{lJ,OO
This Application Becomes Your Building Permit When Approved
~~
Buildlll!! Ofticial
31 z '3/0 f,.o
Date
14 S-~
)-9 -Db
Contractor's License No,
Date
Park Support Fee
SAC
$
$ISS(J,~o
~
-----
#
#
Water Meter SizeS:S", I"
Pressure Reducer
Sewer/Water Connection Fee
#
$ /5"0 0. ()~
$ 600,tJO
$
$
$(P~..3('./8
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
No. ~/"l
ThIS IS to certify that the request in the above applicatIon and accompanYll1g documents is In accordance with the City Zoning Ordinance and may proceed as requested ThlS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows constructIon to commence. Before occupancy, a Certlticate of Occupancy must be
"~l,"~ s/2-yL~fp See s~~.~~!L~LFH€
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See !\/ialrj~~ile
White - Building
~ _J:~~g
k - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
" /-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j
I
/ '~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
~
Date:
3~::?~6
;: 'i .. "'~.
~ LVlalIJ Fife
"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
White
Pink
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1N6!\fSf1I1NAJ
3rQ,O(p
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4/7c; Pf1RKVIEW L-N.
~.
Accepted
Accepted With Corrections
Denied
~
r-
Reviewed By:
~
Date: 3/.;L..3 /0 "
Comments:
SOO--Main--F-iIe. · ,
,;..~ .
"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 Ivl,tiIl lflle
White . Building
~anarv . Englneerinb
inK . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
VV ENs/V; r} tJ fJ
3, q. Oro
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4/7; PARICVIEW LA/
--
~epted >( Accepted With Corrections
Denied
Reviewed By: ~
Comments: 5t'c. tn.,~ 'h'((
Date:
3 - 28-a,
SeeI\la,illFile
"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."
03/09/2006 THU 12:41 FAX 952 767 1900 GENZ-RYAN
f4J 022/037
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I. P;nk
2. Green
~ Yeliow
~il~ , PERMIT NO. -b" ~
^ppllC2tlt
Lh
I ZONING (olliee
I use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
I ~~~~~ejl)gjllafU7 4- Onle5
(Address) /, Pia Dr-. -1t2{jJ
(Phone) U6lQ{I5-,S'7CJ1
APPLICANT ('
(Name) c::rOrrl.-
Q.lj(lYl
t-hJJl/) 13
55/J
Qr-\, 'J ~71') ~-'7 -. 10/\0
(Phone) ...::J~(J\ UJ '-.'
(Address),! (};r' : l '\,
<7\t'7<GU \.A..-
B LtrrlSVI , Ie 5'533-7
(City) (Zip Code)
, (Phon,) 4~-~7-/~
~ DATE 3Lq-LtltL
APPLICANT PLEASE COMPLETE BELOW
NE\V CONSTRUCTION .0 RE LACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL li:fJn~ X [11-1 Q U - '} 0 FUEL no.t: C2llo_
FLUE SIZE RETURN OPENINGS INPUT Wfj/.J OUTPUT 50 OJ !r:JiJ
TYPE OF SYSTEM HEA TING OR POvVER PLANT
~arm Air Plants 0 Stcam
OGravity 0 ilot Water
ttechanical 0 Radiation
'r Conditioning 0 Special Devices
ent SY~lem 0 Otner Devices
(Address)
(Contact Person)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1% orjon cost Residential, Gas Fireplace
~39.50 minimum
$99.50 Residential, Additions & Alteratio11s
$64.50 Residential, AC Only
$39.50
Residcntial, Heating & AlC (New Cons!nJction)
Residential, Heating: Only (New Construction)
$39.50
$39.50
(Office Use On Iy)
This Application Becomes Your Building Permit When Approved
Estimated Cost $ Building Permit #
HEA TING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
&u PAID 'A,
'/I..DI/t I "tltrf./
IVG P€
AMtr
OuildinC! Orlicial
Dale
DatMAR 2
I Receipt No.
I Bv
I -
Paid
24 hoUl' notice for all inspections (952) 447-9850, fax (952) 447-4245
03/09/2006 TIIU 12:40 FAX 9527671900 GENZ-RYAN
CITY OF PRIOR LAKE PLUMBING PERMIT
(4) 021/037
Date Rec'd
Ln
f ~~IL ~~;)iCanl IIJERMIT Nob.., ;.;.J,
ZONING (ofikeusc)
(Pl<", l~ " po">! ,,' ,;'" " b'i3f;
I ADDRESS
/4/ 7q YkU/~LU
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
O\VNER
(Name)
PID
(Address)
(PhOne)L6/-Q05- 37t;q
55/? ;)-
APPLICANT Co.. 1/ 11. D I /'
(Name) Ch.-./ (l. - ~(/f dJ1
, J
'1"/0 - '/') f' 13
(Address) .L-I- U \. v. I-nN ~'I \.
, (Address) j
(Contact Person) ;m
APPLlCANT SIGNATURE
(Phone)
l
(Phone) qr:J7-- rlf1 - i 000
b(A.rll:1 C;V ( (I ~- M N
(City)
DATE
Quantity Type of Fixture , Quantity Type of Fixture
J Bath Tub with or without shower , 3 Rough-ins
J Dishwasher I / Water Heater
/ I Floor Drain r / Water Softner
<) Lavatory (Bathroom Sink) I / Stand Pipe (Washing Machine)
.,--
i LaundlY Tray (I or 2 compartment sink I Sewage Ejector
i I Shower Stall I Backflow Assembly
I 'Sinks 1 Backflow Assembly Test
Bar Sink , I Lawn Sprinkler
,
d- Water Closet (Toilet) I Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a ,\;39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39,50
Estimated Cost $
Building Permit #
SUIt.. /);q'D IA.
DltvG vVI"r1j
.50 t::>S'~
'A.11"r
(Office Use Only)
This Application Becomes Your Building Permit When Appr:.lved
PLUMBING PERl\1lT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
I Paid
Receipt No,
Building Official
Date
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS ILl 17 ~ "I e-z;) l 1-1. IAJ.
NATURE OF WORK WI., , F;~ r ~
USE OF BUILDING
PERMIT NO. or; . 0 Z. / /
CONTRACTOR ~~ HdME3 PH N ~.. 'tl""
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
IZArlf&" r H~<<s-r tcJllAI' ~!1 r IJJf h~;:'(.. I I
FINALS
I/J
~1
/(. "0 ~
s.~
i /J
YI..-,
'1
GRADING (Prior to Sodding)
BUILl '~G
ELECT. 'CAL
PLUMBING ,1. l't t(,
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850