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Home My WebLink AboutBuilding 06-0689, Demo 06-0610, Deck06-0919 QIerfifirafe af <IDrrupaury CITY OF PRIOR LAKE ~rparfmrnf nf 2iuil~ing Jf nsprrfinn p{ Final Permitted D Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the U Residential / D International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following: C"" I A./:J- Ie F-. /'. 1') G/p. J C Of Use Classification ."" .......:>:'.A n I Y Bldg. Permit No. 0 0 Occupancy Type t<. ~ Type Construction V jIJ Zoning District y( I s D Legal Description Lo t. /1 f e 35 lof l rg M!1/JC':; /51 Lo.-ke /-!cH;<./ SiteAd~ress / g tD (,:sh l~:()1 A./f )<4 e5 /fod J (-, '5 p+, ~ - t. . ,_J ./)...1..1 e ,a /Jr') i e ..... 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O~. Dfc8Q I , ZONING (office use) File City Applicant /2/-SLJ PID 25. OsCf. b Z I. (; (Phone) ~2- kl-D- MOO MM ~'T .) (Phone) (Phone) ~t:;'2.--44-D- ~t, TYPE OF WORK New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace DAdditlOn DAlteration DUtility ConnectIon CODE: ~.C. DI.B.c. o Mise. Type of Construction: I II III IV V A B PROJECT COST IV ALUE $ 53b.~.- Occupancy Group: A B E F H I M CD S U (excluding land) Division: I 2 3 4 5 I hereby certil)> that I have furnIshed informatIOn on this application which IS to the best of my knowledge true and correct. I also certll)> that I am the owner or authOrized agent Illl the above.mentIOned property and that allmnstructlon WIll conform to all eXIsting state and local laws and will proceed in accordance with submItted plans. 1 am aware that the building ofticial can revoke thIS permIt for Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propetty to perform needed inSpectIons x Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee /OtJ.oo loo.lJ D 35, SO . #(), ()O Sewer & Water Permit Fee Gas Fireplace Permit Fee , This Application Becomes Your Building Permit When Approved ~~ Buildlllg Ufficial 7/0l7fi,~ Date 1.5.'13 Contractor's License No. 13-JULV'-0lb Date Water Meter - Park Support Fee SAC # -- -- ~~ Pressure Reducer Sewer/Water Connection Fee # # - Water Tower Fee Builder's Deposit $ $"00.00 ThIS 15 to certII)> that the request 1I1 the above application and accompanYing documents IS 10 accordanee with the City Zoning Ordinance and may p!()ceed as requested. ThIS document when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy mllst be issued !!-/o-()( 5'~c., L om1"~nt- S~ Special Conditions. if any Date 24 hour noticc for all inspections (952) 447-91150, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 qhitfL-- Buil~ anary - Engmeering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT N 0 J'UeS Ke (I lee vei- I APPLICATION RECEIVED 7- /17 ... b The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: j3-d.-'10- F,Sh Pt Rd Accepted Accepted With Corrections /' Denied Reviewed By: ~ ~ Comments: ~ ~ -/.... 1Ja:::t;;. /II~ ~~ ~ ~ ~ cfr, Mt1I~ -t~~ ~ ~ ~. ~ ~ ~ 'i:' kcr~""'r1.~ ~ , r ~,~ o-.IUZ 4"~' d-d}~" ~ ~ ~ ~ -IfMA- ~ . Date: 7/,). tel d " . "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." White - Building ~anJ'llry - E.,gjn~~g Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I I I . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \- '-':"'- Accepted x Accepted With Corrections Denied Reviewed By: ~ ~ Date: g-/t1-CJ6 Comments: ~ p:,.,'1/ tlfft'''-'' F~~med @ c 1trJ.;1S f().l) ,~ ctf.(JlYleL ~ -e:er"":;'o.&,,,( n../!.J- VI2.'.,1 j?€:r- 1/,0./ ~;tIe ",,,,,,,,-:slY" ~" fu~g~t:- ~rg#err/~. 0/ " "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." White - BU~dinQ """'-':smaQL - En inee~ Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT k'~ ( / )(j f-)J , / ()__ / I) -t.? I /:/ () it,., c:: S, APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5 d (f()- I-:~ 's /7 /)f- 1(: d I Accepted t>( Accepted With Corrections Denied Reviewed By: fIIft-$ Date: 8-8-0' Comments: See Reverse Side for Additionallnform8tiont See Attachments: I) Grading Plan, 2) Ero-.Sion Control MeaSllre's - "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." CITY OF PRIOR LAKE DEMOLITION PERMIT Date Rec' d (Please ADDRESS 152'10 n-sii ?o~~ l<OAD -::;',E. ZONING (office use) /C/!SO 4 LEGAL DE~CRIPTION (office use only) . f~ 1.51 orLar 16 LOT\'l BLOCK ADDITION vtAV~ ~~S, LA'I-E. ~ (Phone) crS2. .1.10 - 50GJ I 65:',2- OWNER/, ,1__ . ~ame) ~~\ (Address) 2r2..~\ ~~0Q~ H~. CONTRACTOR ~}L'PIUc,.., . \ (Company Name) K~yLA\-.lD ~ (Contact Name) ~'\Z.UL. - \1Z-e::>y ( JoB. S-J'P ) (Address) 110"Z..l ~~ <PCI H"T "5€-. ~I (Phone) q5"Z-~o- 94D~ (Phone) ~J=- L Use of Building: SJ~ W\ILy k HITElU}A'fIOhA.. BuJLDmu LUVE Type of Construction: I IT ill IV V A B Occupancy Group: A B E F H ^ M ([) S U Division: \ e.c- 1 2 ~ 4 5 MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION 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 pro eed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I ~1~y agr t at the city official or a designee may enter upon the property to perform needed inspections. 4JL < i-\4-o(p . Signature Date ~ tl6" MTu ~tiJL ~/2..t~,e.. 77:J lJ~., .~ This Application Becomes Your Demolition Permit When Approved I~~ ~d 41.5;(}(J(}.oo ~ ~ 7 2.{',01; PlJJJ 4!n# -/~ 7/Z;:/(j (p Building Official F-~- 06 Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372 ~ - BUild~ anary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED //qL/1/l/0 /-fortES' "7 / ~~ 00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5210 F/.51-/ PO/N'T /CO. Accepted With Corrections /' Accepted Denied Reviewed By: ~ ~~ Date: 7/2.lD/tJrD ,. Comments: ~ ~ .J'/~' T~ ~ /'1..TI../ ~ ~ ~~D_ i:Jyf. /7073 M.d#.~"'J.Jf,S'.G'. ~ .1./ -'- ~ ~ ~ /U-4.,~..fJ. ~ -frn ~?,6d-~ A ~ (l~f'~~~~~~ ~~.~~ dJ tCtzl~. ~ ~ ~ ~oO-d ~~ ~,Jlf~ ~ ~ ~~ ~~ fr, ~ ~ "1 ~ ~, #5/JcCJ.O'D ~./'~1.<J ('I~ ~ l~ ~ "...... ~ ~ ~ ~ f--'-,,-, O..~ ,pJ~ ~d.I t1h-4r~' "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." White - Building Canary - Engineering ~nk - Plan~ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / /' ."-~ /' / l y,: ': I :' ,._ L I-~--l/ .f t, 1_'" -..-/ I / .... / ,/ C.. -' />~ {(. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .....- ,'--.. ,.......- /~. L::~ r / ( /. / ,r--/_/ / ./ I t .. t . / "-;- I , /'~ :.l..,~'/. Accepted Denied Reviewed By: ~ ~ x Accepted With Corrections Date: ?-g---Db 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. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." ~ Whr - ;r1di!f.1 C Canary - Enginee~ PIli - anmng BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED //6Yi-/1/l/0 ffo;-:IES' 7 / t. u 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /3-Z-fO F/.5I-1 PO/NT 12LJ~ Accepted)( Accepted With Corrections Denied Reviewed By: m1I3 Date: '8 -8 -0-' Comments: See Reverse Side for Additional Informationl Cc,p c,!/ Strv,'Ct5 , B;IOr , 1-0 '1)'1'"'107 See Attachments: 1) Grading Plan, 2) Erosion Control Measures "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." CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d /d.II.O(P I White File 2. Pink City 3 Yellow Applicant ADDRESS 1t12 12.(5D 2). <;:E.. ZONING (office use) LEGAL DESCRIPTION (office use only) LOT 18 BLOCK OWNER (Name) (Address) ADDITION ~A-~S PID 25', D 3 .. 0 :z t \ {) ON (Phone) TYPE OF WORK o Misc. (Phone) (Phone) W21~-9~ (",1(' 4 .~w,rJ ., o New Construction ORe-Roofing ORe-Siding o Porch eck o Lower Level Finish OAlteration OUtility Connection o Fireplace OAddition PROJECT COST IV ALUE (excluding land) S 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 revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upo the p operty to rform needed inspections. 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 l~ u> -~.... Db Contractor's License No. Date Park Support Fee # $ SAC # $ Water Meter Size 5/8"; 1"; $ Pressure Reducer $ Sewer/Water Connection Fee # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTAL DUE MMV 10.,,,.0(0 $ /9to,7Cj ;z~ - -; .-// b 1~~~i83~ This Application Becomes Your Building Permit When Approved ~~ Building Official Paid Date (O/I'/o{, Dafe 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 ;='d~ ~ . ./ Plan2r f{) - /t -(JD Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~te - 8ui!~ anary - I:nglneering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED tEy LA tJD ~()t1ts lb.ll.ofo The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /52..10 FIst-/: PT. Ef). Accepted Accepted With Corrections ~ Denied ~ Reviewed By: ~ ::b.-.<1J L , Date: I~!t G,,I, (., Comments: ~ ~~, fo/ II ~ ~~-:::> ~ ~ ~,--,/~ 01 ~ ~~ ~ ~dI-r-4~) e7-...P~",~ ~~ ~ ~~~<-. t1" ~) "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." II.P!IB^ aq lOU IIB4s UO!lo!pspnf a4l JO SaOUBU!pJO Ja4l0 JO apo:> S!4l JO SUO!s!^oJd a4l la:>UB:> JO alBIO!^ Ol ,\lP04lnB a^!6 Ol 6u!wnsaJd Sl!wJad .uO!P!pspnf a4l JO a:>uBU!pJO Ja4l0 '\UB JO JO apo:> S!4l JO SUO!s!^oJd a4l JO '\UB JO UO!lBIO!^ ^UB 'Jo IB^OJddB UB JO 'JOll!WJad B aq Ol panJlSuoO aq lOU IIB4s SUO!lBlndwoo pUB SUO!lB:>!Jpads 'SUBld JO IB^OJddB JO l!WJad B JO 6u!lUBJ6 JO a:>uBnSS! a4.L. "..~ '::;p - 5f/-<?/, :alBO ~ #bL: :Sluawwoo "'," :^S paMa!^atf \w pa!uao SUO!lOaJJOO 4l!M paldaooV' x paldaooV' :lB pasodoJd S! 40!4M ^l!^!PB UO!pnJlsuoo JOJ uonBo!lddB l!WJad 6u!pl!nq a4l paMa!^aJ a^B4 SlUaWlJBdao 6U!UUBld pUB '6upaaU!6u3 '6u!Pl!ns a4.l 03AI303tf NOI.lV'OllddV' .lNV'OllddV' .::JO 3~V'N .lSI1)1:l3H:l .lN3W.lI::IVd3C NOI.lY:ll1ddV .llWI::I3d DNIC11na CfiUluueld :- )jUI~ """::> 6U!J88U!6U3 - ,{Jeueo 6u!pl!"a - 8~!lIM CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Pennit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address It) 2tfO fisH PO/A)r J(();:I() Lot Area ';..'2.ptt6 f.f. Sq. Feet x 30% = .............. 6) /'2. t3 5.[. ************************************************************************ LENGTH WTDTH SQ. FEET HOUSE x x x = = ATTACHED GARAGE = TOTAL PRINCIPLE STRUCTURE...................... 3) Z '7/ s.t. DETACHED BLDGS (Garage/Shed) x x TOTAL DETACHED BUILDINGS....................... DRIVEWAY IP A VED AREAS (Driveway-paved or not) (Sidewalk/Parking Areas) x x x = = TOTAL PAVED AREAS......................................... f" ell ~ F. ) ORCHESfDECKS (Open Decks W' min. opening between boards, with a pervious surface below, are not considered to be impervious) ... XI X = X = TOT AL DE CKS................... ..................................... 3'72 >.f. OTHER X X = TOT AL OTHER.. ....... ................... ........ ................... TOTAL IMPERVIOUS SURFACE ~VER Prepared By tiff //4,ul{(/1) 5fJ/\ Company fJ:~.4tt'f ltj/It't";"J 14. Date 15)(; 3.t5.f.1 I 9..96.1.f. I 06s/06 Phone # (1,51) ~$I-/U4 RdVI ~ed e ~ 0 ~ - 06 /? tl/jf;el ? - () '1- 0 6 AUG-30-2006 13:03 CITY OF PRIOR LAKE 9524474245 P.01/"H CITY O}' PRIOR LAKE SEW'ER AND WATER PER!v1.tT ; ~:;:- ~~]~ ['PItRMoi'6f No6Qa.9 ). Cold ^-1,pJjt:t"1 _.~_.- -~ tbBI1'E'S$2'~' ~,"'.'" ~""'m)_. 15290 Fishpoint Rd Prior 13ke .-- .-- J [lONW~ 1'<" ~I .---.. ---~ ----(~hOnl:) ~52/440-94.0,0 ~ Prior Lake, MN.55372 ._ (Cicy)- (Zip Code) -. -' r~EG^L DESC1Ul'TION (office use only) L LOT 1.9 DLOCK. /l.I)D!TION .Maves 1st Addit;iOTl PID ....----' .. ~O'l,~~R - Keylaru: 'R01Jles (Address) _.' 1702~. 'Fish poi,nt Rd (Addrc~~) ." -. A:?PLtCANT (l~:l.mc:)_, 51'OCKER E"'ACA.VAT~~TG C01.:fPAm I _!NC. (Phone) --2.~2/890-4~~.1 ~-- (Addres::) _,. 12336 Doone A'\Tem~e (Add(c~) Curt (Conra.ct Person) __ ~. ..,' APPLICANT SIGNATUR~ D ,l..A)\-A~,M ~ .. ..." SaV3.~e, MN 5.5378 (Cil)') (Zip Co4c) same (phone) .' . DATE ~ - :) ()- 0(,01 .-. ~ APPLICAN1' PLEASE COMPLETE BELOW Siz~. ofwat~r service inches. Location of any .couplings 'from structure __ fe~t Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron Estimated length of sewer line fee!. C!ean out (if required) located ;:[- feet from structure. ~ Residential sewcrand water line conne(;(ion Sewer COl1nection Qf\ly S~5 .50 $\ 7.50 fEE SCHEDULE Industrial, Com" & Mulli-ramilj Walcr connection only \ % or job cost with a SJ 9,50 minimum S17,SO Estimated Cost $ Building permir # SEWER AND WATER PERMIT fEE $ ~"-;J STATE SURCHARGE .$ .50 TOT At PERMIT FEE $ . . V\l)' \ Th" Mpl,,,li" n", m" Your nuilding p<rmit Wh" 'pproved P,ld ~' _~"'eiPI N. . J _' ' . . .._ ._ D3.!c'\ ~y (' Buildj~!: Oni,;.1 1)21e / .- " 14 !lour notice ror a,{1 :n1pCClilJM (95Z) <447-98S0, (:loX (!JS2) ;.0-<124.5 ..- (Office Use Only) TOTAL P.01 SEP-18-2006 10:03 From:D&D t'1ECHA~HCAL 9528904650 To:9524474245 P.1/1 Date Rec'o CITY OF PRIOR LAKE PLUMBING PERMIT I 81u, PiI. I PERMIT NO.~. 1 ,"'id Cily ) Y~lIo_ Appllun. ADDRESS ZONINO ("rli,c \Il~) .r; s h Po; (\ \-- R d s. ~ , LOT 8. BLOCK ADDITION MA-vE.~ h";s+ LA~€ A-dJ'I~I'O),) Pro J LEGAL DESCRlPTI0N (office use only) OWNER K ~ II \ 11 (N:.Ime)_/~ \-A-~O r DfYJc$ (Address) I ~ I .f=";~hfcl'''+ ~d. ~ E' r"l e.c.h~ " ,'C.A 1 Lo, IN!:.. (Address) J.J.w JD I 5;J', -tt. 13 (Add ess) (Contact Person) bA-"-E. 2:>.\-~ APPLICANT SIGNATURE -d~~ .p,... I' 0 (" (Phone) CJ 52 - LJ.!:LO -q!:JQQ l J\ k~ M JJ J (Phone) qS 2 -SqD -8U38 e.. 5537 (Zip Code) (Phon,) '15'2. - ~qo -~ ZS8 D~'!E_ CJ - J 2 - ()(, Quantity Type of Fixture Qunntity Type of }<'ixlure -, Bnth Tub with or without shower Rough.ins / Ditihwnsher I Water Henter J Floor Drnin I Water Softncr. .___._____ 'J Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) / Laundry Tray (lor 2 compart~ni sink . Sewnge EJector ;) Shower Stall Bncktlow Assembly J Smks Bnckllow Assembly Test I 13ar Sink ~ / Lawn Spri'nklcr '1 Water Closet (Toilet) Other APPLICANT PLEASE COMPLETE BELOW FEE SCHEDULE Industml, Cummcrcinl &. Mulu.fnmily 1% of job Cl)SI with n $3950 minimum (ornec lJuc Only) ESli",,"d COS! $ 4,@~ B",lding Pom,it' PLUMBTNG PERMIT FEE $ STATE SURCHl\P,GE $ TO,), AL PERMIT FEE $ Rl:sidentiol, Nl:W Olle & Two-Family $99.50 Rc:sidential, Additions & Alternlions $39 50 O~-Dfo81 -.'~50 f>~~IW~~id(t BUILDING PERMIT This AppllclItlon Becomes Your Uulldlnc Permit Whon Approved Paid Receipt No, . _.- , D~~p 2 0 2006 By Ilulldlllll Oflic!1l1 Oil Ie 14 hour notice (ur olllnspccllons (952) 441,.911~O. rlU (952) 4474245 15: 15 CITY~~~ ~R~O~ .~~I<:~ _ , 9524474245 HEA TING/Alll. CONDITIONING/!i'IREPLACE l'EHMIT P.01/01 (Z~ beq I, l'1~\r. I'll. [PERMIT NO \0 L~ ,~ C)elIJ C'I'I . ~ .. ~~ l, "',1I.", ~11111:"n( _.__ ] L~NO ,.m".", I C k "I'll" " ,"oJ ...,.;""- .. 001"",) AJ.:,'lI;!RESS \ S -;). ~ c 1= ~ J. '" 'P ~J , e ,( , .~... ~~~ r~~~~~ (Pilou,) 'I s; .:I.~ ~ ~ - q "I D; . \ .5 S") IA_..______ -.-., LUQ(\L OJ::SCRIP'TION (omcc u,~ only) LO' \ 'b BLOCK ~DLTION f\ ~ \l \ \. \ ~! L", ~ A ~~ , ~~ER \J \ ~ (N~lnJe) h.~~ ~~(\ \\.~b..~ (^~qfe!S) \:1 D ~" \.'\ ~ \, ~'\" Al:lP pCANT f \ -'\"""'. (Ma.We)_ V\~ ~~ ,~,,.... ~- VI r... (A~d:'CSS) \ ~ <\ ~ lj \j 11,.\ lU"\. f\ V 'I.... \ (Al.l(\r(ss) (Cl.Jnl~c:t PelSOJ)) N (..\ V\ L,-\I S c-" ~ '-.. \ '-. ^l~PPCANT SIGNATURll J(\~\.~~ I..,lh,~ ~~- ----- __.__ (Phone) C\ S :~.:.: ~1. '()~ J,l{ ~1 r, 0- \"(.\\b.. 0~ S.s. :)'.'1 ~~. (City) (Zip Coda) _ (PhOM) l'.1 S:),. '-\'v\ ,. ~ \ SL~-- VA Tn _ --~-- . .- -----:=..~ APPLICANT l'Ui:ASE COMl'L.El'E BELOW ~- ~EW CD~rnUCTIDN 0 REPLACEMENT 0 AL'I'E',^TID'!A -' FUfU'J^C~ MAKE AND MOI)EL ~~~ ~ ~~ '(\ \[ C \00 - ~<:) rUl:.L ~--- [1Ll.J~ SIZE -r \J C- RETURN Of,ENINOS _~__ INPUT 2~) I O<::J~ OUTPUT -:J..~) ~ 'ME OP SYSTTIM HEATING OR POWER PLAN'f ,~Wonll Ail' PlonlJ 0 Slt:lm OOll...ily 0 I'lol W(ller o Mechllnical 0 [Ulclialloll l2!aAir CQlldiljClninl!, 0 Bpecial Oe~il.;('s B'Vcl1l. S)'$ltrn 0 OIlier Deviccs __ PLEASE NOTE: Air Conditioner Ullil9 Cnnnot Hncrunch into Required Sh.lc Yard S NbllCk,g Flf)J::ULAc.:B MAKE AND MODEL FEE SCltllJ)ULE li\\.IIISl~i:ll, C01\lOlerclal &. MIIlli.Family I % of lob cosl Reaitlcl1lil1l, GC$ Ph'cplate $3MO rninilnll\n Jlc~ldcl'll:ll, Hcalillg 8t. NC (Ne'" COIl~1rucllul\) S99,SO Ttc:3itlemil\1, Mtlilions &. ^lLcrllliOlls I1.c~itl~lllil\l, Ilt:lling Only (New COII.~lrucliall) ~G'UO ll,csidentlnl. ^C Gilly 5:l r~5LilnaLed Cost $ J~ 0 ~~ '7 DlIilc1ina Pennit # $.19.:;0 .~j.,,~O SJ~, SO l-lJ1A l'LNG PERMlT FEE STATE SURCHARGE TOT A1J PERMIT FEE " '" $ ,~ .50' 8U1i_~~ WIn., '-' P~1iMrr . ~:"iP' No. -~,- I 1 ~ 2006 =r (Olllt, lite Only) l:i A"I,lIcotl.n 0".",,, Yo", D.lld'ng 1'"",11 Wiltn Approved Uulhlll1& OrLldlll I)ale FAXED OCT 0 4 2006 14 hour notice: rOI nllllul-loellol1,' (952) 4.11.9850. fnJ: (952) -447-H.15 \ l~ TOTAL P.01 OCT-26-2006 10: 16 CrT'r' OF PRIOR LAkE, .. .,J"........r.:>:~.+.'-tAA.~P"":"'J~'t-"',.'.r:,j".I.,'fl!:"..tr!,..I.J: . '."( .l.'~. :::;'("J::::;""' . 9524474245 P.Ol i _,\0" ,/,.' ,');:t, , ':"!r;'t\~' ~: ~~~ . .. \ lILl!,:1,k 'r ,. ::I. YtiH~w lc~e' ~,ol!1Ji1I:il Al'1U:,\l~'fi~=l1g~;W~~~~_.~,", .,. ':: .<,.. kDJ:JJl;ESS.&JL' 11...' ''',''',:';. 'fd' ">1' ;(':""c:'~- 9JL ,';. ~. '1J1....!-, . .' 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I;;;-t~ ~l~S!Gl1"'~ ./. ~ ". ..'~< '~~k1ll1~4?~~= " ~~~:'~. - Ii' , '~~Iff.' ~;:iJ '. ~)"b~I"~ ~ ',' ..;' ~'''!r.':'~i'''',:~:t~.. ,"f"',. "'&:~~~~;~~...4/~!..>'. _-,-,-' ": ~/_~,_ '. ,,__ _,~~t$:w~~~~;;rn:,~,J~~,,.J t, ,. '.I;, I ~~~~~(l:EIftI!~;1) "ur' ,t T.bR!A;'nr~,~~r fURN,;A.'CE ~1)tKEJtWn'~tmt ~..;~,.L~~'..., ."" , :g~_~_-,"- F'8:B't;, PI:'T.:lE SfZE --, '~____ ~1~~tt.!.~iJ,~~. " ...,,' ~",,",,",~~~TJT ~, GJ,W.~PUT ~p..;g~~;&;s;y'Sm;~~, ' ~1t1~({Y.~(~$~!'i~Ow.sR PLf',:NT' . ~:':W;~. Jkll+;~'h':F.lAl\bQ~S~:' ,J>t:$ASE N(]):rE: ffl~~' , liB. ll\{at' t" Air Condltionr.r Valts ,')~1ffl~fl" , /',;' o,.:,~ \' , ,Cll1)l1q~Bncrp'<Ich:1IHO ,.Alrtt!""llf~.ltfh8r,. . '~~ . ~~J~~I. , Rt:ql,lJfe~r-SJdeYQrd ;O\r~llt\.is~l/fe,~ " :-"'. '" '::;' :IW~l~l, "itit:_:Z~ ' , S6t)j;ich I FmEPU~E~~li,~@~,:'~~~lli~~-,,-=- .~~__ " ',,' , {~~~J.ti.t}:TJ.ti;',,- " ' " ""'_. ~},'4'~};;~~~lff~f: ( ~/;$~tlti/ft;a:J, GIl.!H;,lrcp/llOC ~ ~~~,SD,'llliitj~1!nfli, '--.. ....." . _... .....,.... .... .. ... RcsidehtiaJ.,,rtl:::Hiht,&#c (N~\LI'Ql:9t\;S~~fb;li~ r9,~~l)' "", iR-egj'detltlnl.. A'ddl!IQrl~.&, ~lrer:l!iar,1 Rc~i dcnti;tl. Htl1nn~:O'ri):V '(N~&""C&l\!rnl'r.;'fJ~tl~, f6,f,;S'O- RtI~Wenliitl. A'C'OI~'iy I nduHria'l, o.onimtfcjl1ll~ MtiJti~F~m1lr !J9,SO (omcc'~~5'0~JY), ..,.... '''''''~:'' -";'~""'"'--..."i', ''''.~"'',':'' _, ,,' ". Ttii9AP'PlitS~~NJleC"ome);j6'W.BI.lTJCji\gJ~h~/l1t~,\ v, ~mA:'7 .:jFm .' v, ',. ,~ ,Date //__/ _ ~ -BUiidl1i'D~(jirit;I~1 . ,[)'~rl: __ " H7 4"145 ~ '-----'~~"':':iI'::"" ".-'< ~^1.;;'''.~1.t\... 50 ,faY' (95~).... - .. Ui'hO,t:lt~(iU(~rqr..!)jlj,ltlij)~~l~h3'.~~~:.t.~ "'... ;>;0 " , ' " , J1'iJ.2~O?E1121e~re~*y,e>>u!, .P.i'l'o't 'J.;pke"M~ ,55312 E.$tm]"d.tt!d"C(j!t,~ .ilJ~O -Or) B'Uildih-g',Pe'ffl)H# 1 . .',.""'~~i:tix~':t1t,..",:.:h-i~~ '~ . :n..:o'1~'':l\W.~1a.~I.wJ.~4!~iV..cu~.~ . '_ ,:~~~~'i~~e~~'*<ti~;~ ',. , s - . .50 '.' ~.l't)~~I.l:J~.B~trJVE' ,$ ___ ( ,,\ ,~3?,SO S39,50 . 0WChW D~~11> ~ (j t:iNO