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Building Permit 14. 1171,1187,1223
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HA io o, O t„m5 -n „ „ o v soy 000 hi M m y m zr5zcz z Cl) -ate �, > Z =100 o Zx, ioo bel $ * > v, -4 m z - z0 c(2 2g O � N z z �S 4 m D y 0 V mm r z xi rv 4. m 73 72 z X 0 0 0000 ❑ ❑ 41 X m m m 3 m y * 3 r N v o 0c -I0c o x ; m x ; 7p 0 co O v ' cmi �' zsi - z XI 0 — _ 42 m m 0 > 000 0 3 gj my o z rzCCxx z c c N Z 5. COAP 0 1- "o -0 O mm N = m n 1t co +S W t�ii m ❑ ❑ ❑ ❑ ❑ " .„-- 6-1 Z- 73 z "]i > � i8g ..., 0 �- R. c 0 i ZI/ '0 � m N \ 1 43 Z m555o 0 4 in > � Mm � � XI r -1 N _ z m ..4 r 0 a of rltro� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE v x' AND UTILITY CONNECTION PERMIT �,NNEsu�* 4 woke ate rti caX PERMIT NO. 1 4 I)� 1- 3 Yams Applicant (Please type or print and sign at bottom) ADDRESS t©Vt /604'1 5+.$E. ZONING(office use) cc:K—L t rct4 56-31 L LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID' ,. 121 . O 01 ©WNER {l (Name) ` 1.r•r` n 40 v c,...V;. 5 ,L U— (Phone) Z'"v1 G1.t- 3 y C¢11 _ (Address) '5°10 de tectict Ove Li."-it It",1".) . / N'tj FA or IM ' j o r' 4 24 BUILDER ::;41)/LC-- (Company Name) �-- (Phone) _ (Contact Name) (Phone) _ (Address) TYPE OF WORK 0 New Conct400nieca❑Deck ❑Porch ORe-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition tion ['Utility Connection CODE: R.C.EDLB.C. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: A B E F H I M R S U Division: 1 2 3 4 5 (excluding land) 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 r official can revoke this permit for Just cause Furthermore.I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x pt. .2 Ga_----,Pcsz.4c¢a tk,l(Iane,.,44 'S kO(t3t l ti Signature Contractor's License Nb. Date Permit Valuation ^ Z Park Support Fee # $ Permit Fee $ 6 Z,Z5- SAC # $ Plan Check Fee $ > Water Meter Size 5/8"; I"; $ State Surcharge $ r - Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ 63 2c , c..4e�r '6e /O( /4 - 1, ,1 pp1. do :ecotttes Your Building Permit Whe 7Appr ed l Q 3•L Receipt No. ,-7,9 54 t f ir/' Ifl'i By Building Ofticia Date This is to cert'A c requ,./in the above application and accompanying d uments' n accordance with the City Zoning Ordinance and may proceed as requested. This do cu meet when s':� . •• a . • . r conis stitutes a temporary Certificate of Zonm complian and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued iiiri A' frki �� k '7 j9- _ Planning Director --''''"Ii- 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 Date Rec'd 4 rRro� CITY OF PRIOR LAKE PLUMBING PERMI 1: 1 o ID 14(IPJ NnEse 2.I.Bfue Fry PERMIT NO.ile ittm Gold 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) f)og4 /��� 4 5 ! LEGAL DESCRIPTION(office use only) f LOT BLOCK ADDITION PID c96 ' ! -a:) -0 OWNE(Name) 2 .�`►e- l/1 Q u 0t t py\s (Phone)`/S'2 -egy -3'4(.9 c-1 (Address) 60 C(0( ICZ) fi 5o4- 5-E___ APPLICART (Name) i 1ac.kdcjsS 70,..1. q ///- (Phone) C/2. -7S 7 `�/4 �1 /9?2 I -5 ' _7 (Address) y c/I� w b/ ���� �e q- -- (Address) (City) (Zip Code) (Phone) (r( Z - -2,S7 —o/Co (Contact Person) r : � hone — APPLICANT SIGNATURE /e /���� r DATE 1' ?....-2- -1-L14 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture t Bath Tub with or without shower Rough-ins 1 Dishwasher Water Heater Floor Drain Water Softener 1 1 1 Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector 11 Shower Stall Backflow Assembly t Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Ill Water Closet(Toilet) Other FEE SCHEDULE Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 The Minnesota Statutes§326B.148 Residential,Additions&Alterations $49.50 "SURCHARGE"has been extended ost $ Building Permit# The minimum surcharge for a �—� "fixed fee"permit is$5.00 PLUMBING PERMIT FEE $ ) CTO SURCHARGE $ . —. E1-- TOTAL PERMIT FEE $ g 41 , CD (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 5 q SD Receipt No...-7 Date /v 22 -L (f By bi'C'C") suildins Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 � ' � , F. e�