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"""'" -i -t-- · i UlZ Z m -t~ (;) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d :,;; ~ 1. 0 &; I White Pink Yellow File City Applicant PERMIT NO. 0& .03fo I (Please ADDRESS W, /<:/.5 /? ;e KGu /f LEGAL DESCRIPTION (office use only) ZONING (office use) LOT BLOCK ADDITION PID l)-.. .'544--.0(;2,.0 OWNER (Name) C/15 V/f A / WI /Q"s (Phone) (? V s- /rJ ~ / -;6 frl r"'> (Phone) ( ?.>:l) '1~ - C> 9 ~ S- (Phone) S,,-;.., ~ I BUILDER I (Company Name) /0 ..J,~,e:.. 1- ft1c. AJt:.fl iCvt"7 I (Contact Name) .8",,6 /1-'f"'~C.AfiN"'l (Address) I C 3 <r /-/-e~ () ,.J t.J /1- 1<-< VI I/c SS-O f..( TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding ~wer Level Finish .ergyireplace OAddition OAlteration OUtility Connection CODE: OI.R.C. OI.B.C. o Mise Type of Construction: I II III IV V A B PROJECT COST/VALVE $ ?,OjOOO.O" Occupancy Group: A B E F H I M R S V (excluding land) Division: I 2 3 4 5 I hcreby cenify that I have hmllshed mformation on this application which IS tll the best of my knowledge true and correct. I also certify that I am the owner or authorIzed agent for the above-menl1oned 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 official can revoke tlm permit for Just cause Furthermore, I hereby agree that the CIty offIcial or a deSignee may enter upon the propeny to perform needed InspectIons x Water Meter Size 5/8"; I"; Pressure Reducer Sewer/Water Connection Fee # # R' ;{ ry Contractor's License No. Permit Valuation ..- Park Support Fee SAC # # Permit Fee $ $ $ $ $ $ $ -$ .ClO TOTAL DUE Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee / ,6-0 Water Tower Fee Builder's Deposit Other Sewer & Water Permit Fee Gas Fireplace Permit Fee /~} 2h' .5 ~"" ifiptNO This Application Becomes Your Building Permit When Approved Paid Date Build111!! Official Date s- 1-0 <; Date $ $ $ $ $ $ $ $ :&- 57~ 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. TIllS document when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction tll commence. Before occupancy, a Certificate of Occupancy must be issued Special Conditions, if any Planning Director Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 1'1A"1'-09-2006 15: 18 CITY OF PRIOR LAkE 9524474245 P.I::H Date Ret'd CITY OF PRIOR LAKE PLUMBING PERMIT I 01". .'ill ] O.I~ CllY I V.Jlaw AppJle.l\l \~aMfr NOIl. 3fLIJ J ZONlNG (~IIIc~ \lIe) ~_. ~.,... "- .....- "_....- s JJ~rj\.qJ~.. .,..-~,...-..-...--- '-. .._-, --- L EOAt DESCRIPTION (offiCt u,c only) pro LOT BLOCK ADDITION J ( ~\ \ ~J D~~~~-------'-;;:~:)-- I OWNER (Name) (Addre9!) (Ad dress) LA.. (City) (Phone) J D~~ ,2-1-:Ol1..- APPLICANT (Nll.me) (Address) APPLTCANT SIGNATURE PLEASE COMPLETE BELOW (Contact Penon) Qunntity Ty~ or Fixture .---...--- --q;;~~Itr.___. . Type of FixhJre Bnth Tub with or without shower ..-.....,....,. .... Rough-inS e-----.- ..~._' ~---_._. Water HCllter Dl!\hwlllihe:f floor Drain Willer Softncr \/ Lavatory (13!lthroom SInk.) ......-- Stnnd Pipe (Washing Machine) Lnundry Troy (lor 2 comportment sinK Sewuge F.j~10r--- ,./ Shower Stllll ,-.."..-.- ....;:,.....~ -.- Blick-now Assembly -;7 Sinks u ~: 'I .'\.. .----"..' ...-- .--. .,---." '.-- BllC,,"l\ow Allse..nbTy Test air Sink Lflwn Sprinkler / Water Clo!o\ (Toilel) ------ - ~-.-...-.-,_...l.'.,-,-...- .-6tj1;. -- FEE sCrmnULE IndllSlrinl. C\\mmercia.1 &. Mul1i-I'llmily 1.1.. arjnn CMt Wilh c. S39..50 minimum ~ l\c!idCnliQl, New One It ""'o-F~mily $<)9,50 l'lcsidcnllQI, i\ddiLioo, It. Allcfnlicos $39.S0 E!ltimllted Cast S r~uilding Permit #. ..~., -- ------.-- PAID WITH dOING PERMIT PLUM8lNO PP.RMiT Ff.8 $ ST ATE SURCHARGE S TOTAL PERMIT FEE S UMlt PaId Rocoipl No. Oale l1y -----'" (Offite I).. Only) Thl. Appllcalioll Decomt6 Your 8ulldln~ PermIt When Appro~ell n\llUJlnll Ol','thll 2~ bour notlco ror.lI Iftlpcdlonl (951) 447-,R5n, fn (952) 44?.414~ "'17~7;k AYQJilincjAr 2t7~'p L .. - Residential Building Permit Che~klist Basement FInish or Interior Altennon to Single amily Homes BY: \2--D (1-- Date: Zoning: F0 0 Building Permit ## tb.. 3~ \ Site Addr~s PID~ L~:L B Subdivision: E.Iisting strucmre@r NO CONFOR'rIS TO ZO~1l'[G ORD IN..~'1- CE ~.O YES NO Is tbi.s an e:tpansion or the e."risting footprint or Ref:: to Plamring V bm1ding heigh!'? Is the pI'Opc::'t'/ located wi!hin the flood plain? I Ref:: to Plamring I V I Does the al~tion indude my additional !C!c:.os? I Rd:: to Plam:ing I m Bur 0'1'1(...1 Fe...1C:> + S fi--J ~ (- .-. -~ Does the orcrcose:i alte:ation indude mv outside R~f::- ~o Pl~'."r"m~ t-SGtSf) L...~ . . . cnrr:mc:s othe:- than patio doors? / Is the pI'01Jos.:::i us.: or tile finished spac: or R::::- to Pl::!T"1":, , g ~ alte:anon for anything othe:- than a o.or.:nal single f:m:ily :"oTI:.e (oEc:. grot..rp he"!:::. 6y C:ll"~. e~c.)? .. Tms <..~CK:..lSl' :YIl'Sl' BE COMPLETED .4..'fD IlfCUJDED E'f T:-iE BlllDf;'iG P~R.y!Il' fILE TO :YL'@l'All'i A RICORD OF T:-iE REVIT\V. .. . . CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 9,2~()b ~ ~~~onw JJ~icant I PERMIT NO. O(P. 03(pA ADDRESS ZONING (office use) SCy w.- s ? A ,.-\.c... wA LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I OWNER (Name) (Address) (Phone) APPLICANT, ^. E (-- (Name) '-.f"\'l:C..-,J( \\ :;:-~ > rF=r~S (Address) a \ (..00\ V E..r "-. \.^ ~..rE:.... (Address) (Phone) " f;).....y \ Lf.- 4 ;)..~ l f.\\(c.V~\ tC..l M~ SS""<")Lt'1 (City) (Zip Code) (Contact Person) (Phone) {, (d-- " (~ ":'i~4 ~ APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM OWarm Air Plants DGravity o Mechanical DAir Conditioning stem HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices ~bOO <.-LX 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. AKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 .50 Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOT AL PERMIT FEE $ $ $ (Office Use Only) Buildinl! Official Date 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 PRIOR LAKE '2 q- - 3 t9-a3 'L --0 INSPECTION RECORD SITE ADDRESS /525cr WI w5- fJlKtuA{ NATURE OF WORK L ~ L-. l1// nr USE OF BUILDING /lEJ ffj /e-, I ' PERMIT NO. ~ ~ 036/ DATE ISSUED CONTRACTOR !il';V~~ PHONE fer;-,of('..r- NOTE: THIS IS NOT A PERMIT F. R ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION p<--' () INSPECTOR DATE ~r:=J -TI~ I , ,.. III -_.'jil1?~ (Prior to Backfill) I i PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~_l~')~..a . .....IIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE 2- ~ //1' GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ~ r~Prior to Sodding) 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