HomeMy WebLinkAboutBuilding Permit 05-0710 - � - -
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CITY OF PRIOR LAKE
��������z�� a� �ixY���x�� �Ixr���x�t�rxr �
� Fina1 Permitted ❑ Conditional C.O. Expires
This Certiftcate issued pursuant to the requirements of Section 110 of the � Residential / � International
Building Code certifying that at the time of issuance this structure was in corrcpliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 05-07I0
Use Classification Bldg. Permit No.
Occupancy Type R3 Type Construction � Zoning District Rl SD ,
L8, BZ, HERITAGE LANDING
Lega1 Description
Owner of Building Site Address 40$9 HERITAGE LAN� SE
ROCK CREER HOMES, 168ll DULUTH AVE., PRIOR LAKE 55372
Contractor's Name & Address
ROBERT D. HUTCHINS JANE KANSIER
��_ City Planner
Building Official
Date: � Date:
�' �
POST IN CONSPICUOUS PLACE : ;, �
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�. s
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ( 2� G�
ADDRESS �,0�� �� �"(�.l�1�, L _ V�,
OWNER CONTR.
PHONE NO. PERMIT NO. � C�
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�.FINAL � PLUMBING FINAL ❑ GASLINE AfR TST
❑ SITE INSPECTION O MECH FINAL 0
COMMENTS:
J� WORK SATISFACTORY, PROCEED
.�
❑ CORRECT ACTION AND PROCEED
O CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CAL 7-985Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL NEALTH & SAFETY!
uvsiwori
DATE TIAAE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED / 20
�
ADDRESS �
OWNER CONTR.
PHONE NO. PERMtT NO. �j' — ? ��J
O FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
O FOUNDATION � MECH RI ❑ COMPLAINT
O FRAMING � WATER HOOKUP ❑ FIREPLACE RI
O INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
O FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
O SITE INSPECTION O MECH FINAL ❑
COMMEN :
2, c�Ut ,'�
O WORK SATISFACTORY, PROCEED
❑ CORREC AC AND PROCEED '
��ORR T ALL FOR REINSPECTION BEFORE COVERING
Inspedo . OwnedContr.
CA L 7- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL NEALTN dc SAFETYI
�wvr,
DATE TIME
CITI( OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �'ZArp�I
�
ADDRESS OO
OWNER CONTR.
PHONE NO. PERMIT NO. �'� I�3
0 FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ F{REPLACE RI
❑ INSULATION ❑ SEWER HOOKUP O FIREPLACE FINAI
O FINAL. �PLUMBING FINAL ❑ GASLINE AIR TST
O SITE INSPECTION O MECH FINAL ❑
CO EN S:
< i ,
2. '� � `�5 Z " � 5�.�
.
t
,�
❑ WORK SATISFACTORY, PROCEED
CORRECT A TION AND PROCEED
O RRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor. OwnedContr.
CAL 7-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH 6c SAFETYl
wsnror,
�
o � i rR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�, §�� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � Z � ��
� � �tl . ��.As. �
� ��" `� � AND UTILITY CONNECTION PERMIT
r.: . �S
U .' t�j
M�NNESD�P t White File pERMIT NO.
2 Pink Crty O� Q�� O
3 Yellow Apphcant
Please e or rint and si at bottom)
ADDRESS ZONING (o�t'ice use)
¢USq �f�i 's3�' � L.�/.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER � ��• �.�,N p �� LL,� (Phone) 1�
(Name) C�Pt�1�RrL Co+nl t�P�C �1�1 �-.� � 2 s4' S" 6�S T
(Address) SZS /►l l9Z.Nt'Z� �D ��) ��1.1 PP��I� r S'S � �-�
BUII.,DER G61R� Y CQ N��,uG71�N �! a �p � S — '18SI
(Company Name) (Phone)
(Contact Name) �'�� G '' a � s � (Phone)
(Address)
TYPE OF WORK New Construction ❑Deck ❑Porch ❑Re- oofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
Addition ❑Alteration ❑Uhlity Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Constniction: I II III N V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
(excluding land)
Division: 1 2 3 4 5
I hereby certify that ! have h�rnished m rmanon on this applicat�on whuh �s to the best of my knowledge true and correct. I also certify that I am the owner or authonzcd agent for the
above-menuoned property and t t a c trucuon wdl conform to all ex�snng state and local laws and will proceed m accordance wrth submitted plans. I am aware that the buildmg
offic�al ca v e thu per c Furthermore, I hereby agree that the c�ry official or a des�gnee may enter u the property to perform necd •d mspecno� ,
X �3 S 7�' �olo Q
Signature Con actor's License No. ate
P it Val /j ar upport Fee # $
Permit Fee $ v SA # $
Plan Check Fee ater Meter Siz 8"; 1"; $
State Surcharge ressure R r $
Penalty $ Se / e Connection Fee # $
Plumbing Permit Fee $ - I ter Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Applicarion Becomes Your Building Permit When Approved Paid ReCei
Date Z U dFi B
Buildm � Utlicial Date
This �s to cert�fy that the request m the above apphcahon and accompanying documents is in accordance w�th the Qry Zomng Ordmance and may proceed as requcsted. Th�s document
when signed by the Gry Planner consututes a temporary Certificate of Zonmg compl�ance and allows construcnon to commence Before occupancy, a Cerhficate of Occupancy must be
issued
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
� Doc. No. A 79269'�
� � OFFlCE OF THE COUMY RECORDER
� SCOTT COlJtd7Y, M€NIVESOTA
�� � Certified Fted an�!!oi Recorded on
� 01-31-200$ at ? 0:25 Receipt 684165
� � . Rat Boeclur�an, County R�order �
Fee: $ 46.00
SW�RiFF'S CERTIFICATE OF SRLE
STATE OF MINNESOTA ) � �
)ss.
COUNTY OF Scott. )
I, _ Kevin �tudnl�, Scott County Sheriff, State of Minnesota, do hereby certify; that
pursuant to th� printed_Notice of Mortgage Foredosure Sale hereto aHached and the power of
sale contained in that certain mortgage therefn described, to wit: that oertai� mortgage dated
June 3U, 2A95, executed by Rock Creek Designers 8 Builders� U.C� a Minnesota IEmtted
liabilf#�+ company, as rnor�agor{s), to BankCherokee, as mortgagee, filed for �ecord in the
afFice of the Scott County Recorder on June 30, 2�05, as doc. no. A 703775; «
``" .[ did, at the time and lace in said notice s
p pedf�ed, to wit: at Sheriffs Office, Law
E�fflrcement Center, 301 South Fuller S�reet in the City of Shakopee, County of ScaEt, State of
Minnesota, on .�anuary 31, 2ifA8, at 10:00 A.M., offer fo� sale and sell at pubEic auction to the
highesf and best bidder, fhat tract of land ly(ng and being in fhe County of Sa►tt, State of
Minaesota� described as follows. to wir
� asya���o
L.oEs 8 and 9, Block 2, Hsr[ta�e 4anding, Sccrtt County,� Mir�t�s�sota;
� and did s�ke oft and sell the same to BankCherokee for the sum of FOUR HUNDRED SIXTY
S IX HU D ED R1Y-N and 00/900 ($4�0,849.00) DoAars, said purchaser(s)
be�ng the higHest bidder and said sum being the highest and best bid oifered therefor, and that
said sale was in all respscts openly, honestiy, fatriy, and IawfuAy conducted, and the time
allowed by law for r�lempfion by fhe mortgagor(s), its personaf representatives or assigns is six
(6) months �From the date of said sale. �
Date: Januarv 39, 2008 Kevin S�adnicka
Scott�b ty Sheriff
By:
STATE OF MINNESOTA ) p ty
)ss.
,� COUNTY OF Scott ) ,
On January 3i, 2008, before me personaiy appea ��,,,_�t'�i�c ,, tio me
� knawn .to be the depu#y sheriff of sald County, artd the person des�ibed in and wha executed the
foregoing instrument, and adcnrnMedged that exec�tsd. �as hislher free ad and deed as
suct� deputy sheriff.
�Publ
�ra�{�Jt�tlReturn to: T�uuc�qrer Address (if (Wotary Stamp) �
Stoin 8� Moore. P.n. • unredaemadf
, Ateorneys at �aw BarikCherokee ,iAt�ET L'E� NEMANIC
M3nnesota St, �IY-1650 607 Smittl Avenue Soulh ��� g
St. Pauf, AAN 55101 St. Pau�, AAN 55107 "'� � �
r� s� au-ssss . .
2218.57 • , • .
� 4 �
'�
. A�GNt�rr o� a �s c�TL�rCA�
i �rr�..�r.
' PLEA�E TAKE NOTICB, for valuable ooneic�atton, Capif�l Co�cep�t patmas
�Pa�fY Fvn l, LI.C, a Mi�mesota Limited Liabili�Y C,�nY und�er tha law� oftbe
�, $�8t0 0��121a890� a.4 8$BI�OT� �Q�I, W�t(i Wl1�lO11L PLCOqlBE, 9Cu 31 � 19 Qii� �S •
: t0 �� L'OIIItIlC�+CI� $� 8�ILCS� B81�Ilg CO�dTB�Mt QS 88$�$AOQ OC2#8133
' She�t's CertlEca�e of S�te was filed in the 0�'ica aftho Coimtyr R�, Scott Co�nntp, �
.. Mianaeots, oa January 31, 2008 as Docum� Na A792691, together with a11 r�ght at�d
� i�ttearegt in and to �u d�bt tl�eraby s�cured. .
A85IGNOR:
CAP�TAL P FUND 1, LLC
; By: �
' � ��
; .
. 3TAT8 OF MII�tNESC�',A�)
) ss .
� CQUNTY QF_,1�Q�,
. �----
� ���/
���6 �`�� nwkdgcd hcfore me on thie � day of_ '��w f y .
Opporb ity Pbnd 1, LLC, a Minnastita Limi#ed Lfabili � CompanY, on�behaif o�fthe
. ,
� No�zyJpablic � ���«�""w►R
�EVCaN E.. Ltt�K�N
MQ'FARY PUi11JC•MMIN�6
� � �ph� JN1.8t, Y004
. s
, ,
ASSIGI�TMF,NT OF SHERYFF'S CERTIFiCATE OF SALE
` For valuahle consida�aticm hereby sells, assigns and transf�s to
j � Ca ita � Concept Partners Opportanity Fund i, LI.C, a Mirmesota Ii��ited lisbility comp�y �
� (Assignee), all af its right, title and intereat in and to that cortain SheriPPs Ce�tificats of Sale
(inciuding a11 rights m the foreclos� mortgage and secured debt) dated January 31, 2408 �nd filed
foz record with the Scatt County Rccorder on Januazy 31, 2008 as document no. A 792691, whereut
s the Sheiiff of Scatt Cvunty sold to the Assignor the followin�g described proper�y located in Scott
; County, State ofMinnesota, to wit:
" Lots 8 a�nd 9, Slock 2, Heritage Landing, Scott Co�urty, Miimes�ta. �
BankC�tero
Date: � , 2008
.;
�
j STATE OF �TNESOTA ) I�s: � � � ��:��'�' .
� )ss. �
':, COUNTY OF
�' �
� The f go' g instru� t was acknow before me this � da of 2008,
by ,�. � � _ � � �' the �. of
� BankChernkee, a banldng corpo ' the laws of tho S Ittiwneso bahelf ;
; corporation. EV �� U ,�KEN •:-_ ,,
� NOTAAY PU9ll�-M�� � '�-./
, ��� Notary Public
�
�- ,
� �rrri8 �a��t � a�a vy:
�. s�n�r � Moox�, P.A. � � � 3��i,a���'
;} A.cwrneys a� I,�w s�2'%�2c� �,1.L�
332 Minnesot� Stroot, #W-1650 �-�p�
St. Paul, MN SS1Ul ��• /�i1 �,�/,�"��'�!!.�
(651) 2249683 hzi6-s� ��s3�s� g�� �;
._ A58IGN1V�ENT OF IYIORTG�AGE
.. Date: � �� , 2008
�
� FOR VALUABLE CONSIDERATXON, B�ke,e,, a bmikin,� corporation unda #he
� laws of the S#ate af Muin.esota, Aasignor, herebY selle, asei and transfms to C ital Con t
;' artners orhuuty 1, LLC, a Minnes4ta limited liabilrty company, Assignoe, all of its ri�ht,
i e an mteres iu an to e ortgage dated June 30, 24U5, ex�utsd by Rock Craek Designe�s &
Builders, LLC, a Mi�ne�ta limited liability company, as Mortgagar, to BankCherokee, as
Moztgagee, and filed for recard. June 30, 2005, as document no. A 703'7'/5, in thc Offtoe of th+a
County Recorder af Scott County, Minnesota, tog�r with the debt thereby secumd.
� ASSIGI�TOR BankChernke „/�
�; �•� � �
•f
` / ZL� J���—
Its:
; STATE OF MII�TNESOTA }
'� �/� }ss. `
C�t3N'FY OF 1�1��.�-a—.—
�
� 'The going ' �was acknawiedged befo}� me th ,i�g �N of 2()08, by
: �$d�_ l.2''�� the v/f.P - /''�,,,o��' ,�'- of
, Bank�herokee, a ban�n� corporation wnder the laws af the Sta�te of �mn�Ota, on behalf of the
i corporatioa
� This i�smYmnemt drafted by:
' Not�ty Publ
� STETN & MOORE, P.A.. ,��►�
• Attornay�s at Law '°+�" �
�32 ��� s�, w-i6sa x��� to: : cvaN � l.UEKEN
S�. Paul, MN 55101 � I�TARY RU8f.1C
(65l) 224-9683 , a�oon��onr�a�.a�,aoae �
221 fr6? (tf83633)
�: o ��
C?OMMERCIAl.RARTNERS
� T � , � �. ► � C
� x00 8YUr1 �11A1186wt� 11t110! 1t00
I�nea�pofta. NN ie1�
PHOIrE �t� 9f7�170
FAX � si7 i179
SELLER'S CI.OSWt3 STATEMfACf
�0 Daf�: M�a r 80. 2006
en� Dste: M4Y �. 2006
�. Oap�l Conc4pt PaAnen OpPoRunih� Fand 1, LLC
BtnlcCh�
Closin� A0� Conwnercld Parhurs Tiqs. LI.C� 200 SouN► Sbdh SR. 8uNe 1300. IAlnneaDOls FAM 8 6iD2
CIo�G�O AA�t Pib No.: 30�5
PROPER71f ADORESS: 4089 end 4095 H� Lans SE. Priw L.a�. MN
DEBIT CREp1T
Purch�ua Pri 42S 000.00
��� 25 0{HI.OD
E�snelon Fee P�bd OD. pp�
. At�oalatlan tio: tN I.�dl 378.�4
Aasoola6On 'I09S bo: La�ndl 878.14
Ikltn T�c ZOOB Lot 8 00: 3�ott .. 883.83
Ds NriTaoc 2007 Eo: Scolt 2 72A.12
Dsqn Tot 2008 9 bw. Swlt Cou 983.83
D� �T�oc �007 Lof to: 2 8D7.21
Fhat hei( 2pp8 � . Lpt B tp: Seo� C 167p.24
F1r�t M�f �OB 8 n. Lot 9 tio: Scoq Coun 7 724.82
ProsaMd Ta�w"' S88.OQ
Fss 1 b: CotMnsrdld P�nU�ars 850.
P�sa Aeea ot 8hen1! CeNAssn M ib0.D0
8UBTOTAI. B0B.48 428 886.00
CAt4H PROM BEIi.ER
CASHTOSELLER �g, �,g7
TOtAL 423 8B. 425,588.
Tfis�bo+n dotinp p�lems�t k Aeraby �rrod, and fhe atosinp sqqnt � hNSby s� u�d
dfnctrd to dfsbune ilte moMy �1s Indlalad heroul iMd tNIArK InstrwiNnls, doc�atlsnb �nd ofF�r
P�P�*b. H any to tl�e daipnand p�rtla and ahMwW alow tlNs tnnpelfon in aeeord�nee witl� .
41N oloNnp lnafr�tlons.
�
By; �� ��il� *y'�dFfis�•-'1��'
Tax Iden .—
COWMEJtCtAL R8 TRl.E, I.
•"2008 S� Ooq� 56�628.00 �nd is half p�id. 56,828.OD13B9 � i17.8�Nd�y. SsNar oxroe 1�0 dsys x 17.94 � is2�816.DD
q,2E4.00 {1tl hdf P�id by aMf) i6�.00 andt � BsY�r.
, . r--` � r
CO�M�ERG�10.i.PARTN�RS
T � T � �, ►� �
m� swn aw� ee�.t, eula twe
M+owyw�rs, ax eea:
wa�epr� a�t,uw
�i�zr+�snaea,
BUYE17'8 CWS%16 STATEMENT
cxoaNnp Dam: � 30. �08
Wsbun�� Dofa: M1�aY 90, Z�08
�YER: Cap�ai ConoeOt PaMets�p0 partuMW Flaa11� l.l.�
BELt.6R: BankCharokso
��0 �: CommetoteS Pa�tnais TMIe. LLC, 200 8outh �1 S4, 1300. MlnneBGDIN. MN 86402
CI� Ap�et FlN pb.: 90409
AROP8RY1f ADORFBa: IOBY and 4003 HeArgs latN SE. P�lor t.No�. [�N
DEBiI' CREDI'1'
8ebe Pdce 425 .00
Ret�n o� Eornead Money to Cspolsl Co p N�c. .QO
E�n F09 b: Par4rers kro. 7 .�
CoerpnMbrt to: C Pa kio. 21 .00
Fesa b• 8emidc end tlban 2d 987.63
Ttaatvs Fsx�d �a: CCPOF1 20 DOOAO
Mvance Uom F6et Commsrchl 781 .13
t10,4aen0usforJu�s to:N HOA 221.00
HO l�en tor Juns 1x l.andl MOoA 221.�
2ma�tl�swo ca l.otL b�:H HOA 442.0�
• 2 moMhs worid os Lot 9 ta M �d FIOA 442.00
Pm�abd Taxea " 508.00
CotnmibnetK Fea �: Fkst Comms� Bsnk 16 OOR.00
Lort Docum�oR Fs� to: FketComtrnrdal8ank 28P.00
Cro�t ea FD�atCOmme►dal Bank 79.OD
Plaod 8ewrch foc FkstCammetdal B�nk i98.OQ
F tot Com�frordei ParqlKt 350.00
�nt Fes to: Colt111uroMi PaMefs 7'9S.OD
• htaurenq PrsmJ;510 �o: CommerqeF perinsn ! 10.00 �
EmIOEOartlaNS b: Connmsrotel Parb�ers 1 SQ.QO
St�e �d Tez b: 8cott C 1 .50
Fes 160.OQ
�BT�T� 511 5.13 4814�6.13
CJ48M FROliA BIJYER pp
CA8F1 TC BUYER
T�T�- 51t �9S.13 S1i 496.13
ra..eov. eiosi� saan�.M ��er,�r+ywro�r.a. �a n�. wo.r�o.�+ � e.�r au�ortr�a a�a
dlneoM to dbbwav Un mon�y n in�abd h�roln u�d daifwr N14Gunpnts. docamenh �d otlw
9f0�Nly� (( aAy �0 tlN dN141M�ld �t1�N �itd Of�1�NRM 1h(tf1i0YWDR f111N7C0[Qi110! W1�f
M! abaipa i •
1
sr. C� !��-�L
T�ldan 11� No. �
����'�,�,�� .
8r �✓�^� � c.��"'/� �' �
� � �
°'20�8t�ft 6o�M 56,528AD asd ie helt paW. ib.526.001d06 s S17.Mlday. SeMer owas 160 drys X 17.d4 ■ i2.87aA0
33�Q4.G0 (9at haH paid by eellN1 i9EB.00 ardR h► SNIe�
� , .
MINNESOTA• AEVENUE PE20 ". " � �
, Certlflcate of Reai tate V us � ��
- �a�ema+ �
/�t�v S �'�'Z. 53�5�`
�. wwhn 9 sul rpvreaeww 6"�S. '���/7IL��� mephene
� �� / �! / �
etrat wrN af ao � Waawrsh4 �
� �T
� r
+ 1. O�sC, a Wpt � W¢nartl .blOCItM10 rapadi NMe daaiWbn /� _�. �
:�
��V� \J
� F1na� oea�emsiMS -
�, i .— vYYS � piapaq wkwwa in purew. A�+a tes. mmWre. hwcy+ax �auim�antt •
Q 1bs�No M1��. Nt YroPuO' anu � --
. �� aenrtlnotni4eamsrolw�waRqK��nnaimr 4
oow Mea�a a� u.so.asorcamn�. •
. Pd�w er a+wta Manst aNa M�er Gn►wtt wlue a psraaai pro�q� �
' f
6. iyp� of �o�uls�lon tet�ada an th�t app�
(] Buysr aq wNer �n M�tfw6 a wlaSed Wak�esses ❑Conbaet psW otf or ro�ld ❑ Prope�y recehed In veae
� D a�r.. o.,.wr +. mae� a m,e�w. o�,� U r�..aaee a�owe m�„ o�a p w�n.» ��„��► �a o.�r ae r�.co
❑ e�yx w i.�ar a �nn a� �row.a conaemnee o. tttaol� upon
� �� CuroMwed osrttsl iaEenet aM1' ❑ P+oWMY aosNal e� �Ih a hM�htroe
T. Yy� of plopa�ty ti� {oherk s� Unt apWy�
. ❑ uaa a�y ana eua�s � canwuoewn a new woane.nK �, s a y..r a a�
.. �miaA nw ot PbP�Y tonaok aa}
aanuar. dnaN �qmkY ❑���� NYl�er m aoras: (�ttaoh Sd�etlWe PE2QU.
C! ��: �. o�a � �w�x p..w.�rm�. row «mon u��. ti�.,,o.. a w�,: nK+a� swbaw. rao�,►
� LtibM or na�atlonel (nana�ll ❑ Camm�rda4kdus4id.'NW oi A�a� (e�h 8chedub PE2aM].
❑Olher. D pftlW� SoMtlub PF.�WI•
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MItJNESOTA DEPARTMENT OF REVENU� COPY g 17 �. �
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O F PR/OR
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�
- Buildin
Canary - Engineering
Pink - Planning
The < emer of Ihe Lakr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ��� ��E�G
APPLICATION RECEIVED 7•� Z' - a--�
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
�o �9 �E� �� � ��� s. �.
Accepted � Accepted With Corrections
Denied
r
Reviewed By: � 7���' Date: 7� �( a�'
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."
� ,, :
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p F PRfp
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� � m �ee M�.in F�le
White - Building
�Canary - E ine�rin�,
P� ink : Ptanid rn ' 4
The fenler of Ihe I,akt Couniry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT �� �' ��- �--°'�� �' � �`---
APPLICATION RECEIVED � � I � • � �
� The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ,� — �--
.�, k. `"T � �:" f a ` .f-�''`�:� !�. � � t f � �,;. � �! /�, �, _.:> . � .
�
Accepted `� Accepted With Corrections
Denied
.� Reviewed By: w ��� Date: 7� Z S� � '
�' � `��.
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 jurisdic#ion. Permits
presuming to give authority to violate or cancel the provisions of this code or other
E
ordinances of the jurisdiction shall not be valid."
� PR1p
!
� ��m ee Main File �
S White - Buildin
•� a - En ineerin
ink - Planning
TAe ( rnler of tbe I,akr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLtST
NAME OF APPLICANT �`�� �' '� � -��'� '�� ��--
APPLICATION RECEIVED r� � � �� � �' `�
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
` . �- � �
%' �` t��;a , ,
`-° ? ,, �'. i .`=���-= ,'`.:-�`` "�-i .,��",,-� �,� �". r=i` ,{s.: � .�...� . .
.
Accepted Accepted With Corrections
Denied
Reviewed By: 1Y7� Date: / ��l � �
Comments .��'N. ,�5�� !-� ��
See Maln 1 e .
"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 vioiation 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 va(id."
� U1%�u U1 .F1U�� Uy. r ti1L-l� t,11i ur rniun �nni -
— �— . _._.. . . •
�
� var i CI1�'Y OF pRIU� �..�A� Date Rec'�!
� � ; �EATll�IG/AIk� C4NUITTONING/�IRE�'LACE PERMIT
U �
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!�src rvve or Driat �+, t n u bomo ZOIVING ��« W�� �
, ADDRESS
� i`�U' ��,�.•. �a /j . ,�
��.EGAL D�SCR: '�'ION (oflice uu onty) �
! PID I
I LOT BLOC : ADDIT'ION
OWNER � G�l�'.�' (Phone) �S�S'�' `��� ��. --� j
� ��.��� `�o�� �r �! �
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� �Aa.�re�s� /'G fs'/� c.�' � S'•
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�.PPLICA+VT � � � � — �,ys��/ (Phonc} �
' (\'ame) l U��-�� "'� /
iaa�� �, �O�,o�- �-,.��� �"���� � ���'�
; ;,A�ess) (C1:Y)
i ���
� . �,�.v,`� �v���''l c�oa�� qs�-- � �4 s��r�
�Ccatact Person) �
� DATE ' — O� -- J
� I .S?PLICANT S JNATURE
�
c ��,�s� co��T� ��LOw �
I f` — � ; EW CONSTRUCTION Q REPLACEMENT ❑ ALTERATIONS
� � ,� 3�A�o'�6�'�0 FUEL ,�'��__. �
� FL�R.�tACE MA1�. 3 AND MODEL ,_���ct ' � r- �,, ��
i FLUE SIZE ��� l�+-' RE'NRN OPENINGS _ /I _ _ MPYJT O'OG OUTPUT -,�=y.-z_�'�_
TYPE OF SYSTBM HEATING 0� POW�R PLANT
PLEASE NOT�;
.. �Warm Air Plants � Ho1 Water Air Co�6lLOner Un�r�
Or�viry R�;at�on Cannot Enctoach inco i
� qlr �C.ondltionin ❑ gpecial Dtvius Roquired Side 1'srd
� ent. S ctern Y ❑ Other Devices �� J
� Y
� F1R.EPLACE M .' KE AND MODEL —
� F�E SCHEDUI.E
�
i S39 i0
(o��ju:a:, Comml cial dc Muicl•Family I°h ofjob oo�t RaldentW, a�s Pircplace
539.50 minimum S39 50
F�cvdemlel, Heai�� q� NC (Naw Conscruction} 599,50 R�s�����; Only� & Alter�tions SJ9.50
�c:idrn:�sl, Hcatl g Only (New Consvuctlonj 56�.50
Eacimaced Cost S_ Buildin� Perrnit �� `��, ���
HEaTING PERMIT FEE S 5 � AUG 2 3 2006
STA'I� SURCHA.RG� $
TOTAL PERNIIT P'�E S
10�<e vu only) B y _
Thi�ppUc:i� �on Becomcs Your BaUdinQ Pormit YVhen Approved P °
� _._
— — Dafc �J ij
Dite �"��
i Bulldl � O(Aclil i� —
7•f bour ootice for all iuipccdon� (9S2) 447•9830, fis (9�2) M{7�245
F�Bf F�l! �E3�5 �9: 38 9522331�92 FIhdALcaR�iDE PAGE A�t
Date Rec'd
0 4 P �"O� C�TY OF P�xOR LAKE
a �
� x SE�VFR AND WATER PERMIT
U � M
��NNE8�1P , .0�
1 Crem Flle pERMIT N
1. YdInW CtY
' 3 dold Ayplic+mt
Flease c or c�� �� +� � bon°�' ZONING (office use)
ADDRESS .
yD l,�e i
LFGAL DFSCRIPTTON (officc use oaly)
LOT BLOCK ADDITTON � t �
O �� u (Phone) 7"
(Namc) —
� 1 g� 7 Y 1 � t i�1 1 f' c l`�_�►�� ' ri(5 ���� �� � t�7 •
(Address) e � (7ap Cnde)
(Address)
APPLICAN'�" _�� � I [ u�c'� (P1aonE) 1�� � • �n��
�� '}"
(Address� l� � �� `� �P�
(Addxcss? (C�ry) (Z►p Coda)
(Cor�tact Pcrson) (Phoz�e) _
APP�.xCANT SzGNATURE DATE
APPL�CANT P�.EAS� COMP��TE BE�OW
S�ze of water servioe / inches.
Locatian of any couplings from structure ' feet. � '
�y,pe of sewer �ipe. ❑ ABC [� PVC ❑ Cast Iron
Estiizxxated lcngtl� of sewer l�z�e � feet.
Clean out (if required) �ocated at .— feet £zom structure. I
�FE SCHEAULE
Residential sewer and water line conuection $35.50 tndustrial, Com'1 & Multi-family l°/a of job cost with a$39.50 minimum
Sewer cannection only S17.50 Water connection only $17.50
Estimated Cost $ Building pc�'mit # � �
3EWER AND WAT��i PLRMIT FEF � ,��
STATE SURCHARGB $ .50 �.�
TOTA�. �ERMIT FE� $
t@nr�� u� o�iy�
Z'his ApplicAtion �3ecomea Your t3uilding Fert�nit When Approvcd Paid /,/ Receipt No.
V
� Date
Rulldin� Oi'�eiA� Dnit
24 hour no4ice for ail inspections (952) 447-9850, faz (952) 447-4245 ��.
08-18-2��5 1��16AM �1ATTHE� DA�JIELS,INC. 423 3�17 P.BZ
Q� PR109 t Date ReNd
y �� CITY OF P�2ZOR LAk� PLUMBING PE��II1�
F q
X :
t� n� � �
i I
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i
a �'�'N89� Kr I
; � eh„ F��° PER►`�IIT �O
: W�d �rty � ps �� / �
j � 1 Yellom �PPl�unt �
Pte-.uc o� rin� an�d si a[ boaornl I
AADR.ESS i ZONING (ottice use)
�d �i � ���
�
LEC'rAL DESCRT.�TTOI�' �of�ce use oNy)
� I
LOT BLOCK ADDITION P
i �
O WNER �� �
(Name) Rn� K.. �I''��k 8ui ��e� (Phone) 9��i'� +-l�'f - 045�"
I i — -
(Address) b �u� . S . . 3 �
I
AP�LZCANT � j
(NamE) Mn-��vJ J.�.»i��S. 1»�. _ (Phone) �51-�E23-3'T3a
� i
(Address) �.�;2 �''J.''.lZ�� � me � 3'�OG�g
(Address) (City) � (Zip Code)
I , � ,
(Concacc Person) I L�• • (Phone) � f�sE - N2�S - 3h•3o
. ;
AP�LICANT SI NATURE �q'� $ �� 8 `�� -
� ;
Ai'PLYCAN7 pLEASE COMPLETE BELO�V ;
Quantity ' 7ype of Fixture Quantiry Type of Fi�ture
� B th Tub with or without shower 3 Rough-ins I
� I71ish�washer / Water Heater �
/ Eloor Drain Water Soflner ;
3 Lavatory (Bathroom Sink) Stand Pipe {Was ing Machine)
� L�undry Tray (1 or 2 compartment sink Sewage Ejector �
� S ower Scali Backflow Assembly
S nks Backflow Assembly Test
, Biar Sink Lawn Sprinkler !
Water Closet (Toilet) J � Other �
� • i
� FEE SCT�EDUL� '
lndustriat, Comme �cisl 8c Nlulti-family 1%of jab cost with a S39.50 minimum Residenval, Ncw On� &"�waFamity 599.50
i Residrntial, Additions & ,�itcrstions $39.�0
� �
; ; Estimated Cost S Buitding Permii # ^_
� . PAin wrn-�
PLUMBING PERMI? PEE $ _.�p�N PERMa1'
� ; STATE St3RCHARGE �
; � TOTAL PERN�T FEE $ /co • 00 � �(,�, .
(Otfiee Use Oniy) � �
�
This Applicatfo� Becomes Your $uilding Permit When Approved �(�� r1 �,� � eceipt No.
D L �l ,
Date ; �; �BY
Bulding Offcial vac� � C 2 4 20Q5 �' ,'
Z4 dou� aotice Por all inspeciions (952) 44 9850, ta: (95Z) 447-4Z45 � I
� ��____-.�-= �
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See Main File
DEPARTM�NT OF
P� I�� LA K E BUILDIt�G AND INSPECTION
INSPECTI4N RECC)RD
S1TE ADDRESS Q S T� I�L� SE� •
NATURE OF WORK /V / M� f.�L � IW�'
USE OF BUILDING •
PERMIT NO. �S- G�� DATE ISSUED Z
CONTRACTOR . L��E�'� IQ • PHONE •� 'd
�
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING f y � O
FOUNDATION (Prior to Backfill) �,,� � o ,� �' 6�
PLACE NO CONCRET UNTIL ABOVE HAS BEEN SIGNED
ROUGH - iNS
SEWER / WATER / SEPTIC �fe c�-
FRAMINC � �,(,
INSULATION ll G�6
ELECTRICAL �.�''
PLUMBING �t ,� d�
HEATING (if requiredj Z.
FIREPLACE � � �'o �
GAS LINE AIR TEST �Er v � ��1' . ��f �' �
COVER NO WORK UNTlL AB VE HAS BEEN SIGNED
D ��� �o��
FINALS
GRAQ'�VG (Prior to Soddin ) z'� IJ
BUILDIf�IG � � �
ELECTRICAL
PLUMBING � z d d
HEATING /
DO NOT OCCUPY UNTIL ABOVE HAS BEE GNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained untii ali inspections have been approved. On buildings and additions
where no service cabinet is availabie, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850