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Building Permit 15. 0340
cc' n 0 :5c0 000 = 0 > zg § n n0 0 (nm - rn � -n 0 * ® ) { ƒ \ k k k C Mr- FE ) k 7J M / k % ;� \ \ \ Z Z § C § B 22 a m o 0 \ ■ '411 6 § , @ q 2 $ 2 % § \ § , § \ \ 0 a > 0 m P3 % a § m 0 2 2 « z xR 0 000000 m 2 m m 0 q § v § I 7 § / tom / ; M 2 i 13 il� _ ■ m ? 3 n ■ 1--- g \ En m K § 3 7 7 7 73 7 xi z ) ? 2 \ $ R R % § § 0 trl / / / k § § § V 0 7 C 0 m k000000 1 E 0mmnq 2 z / / _/ � } - \ � gkKK « m Yir ■ ® / - ¥ z- % qr 0 f PR®o,1 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd rTEMPORARY CERTIFICATE OF ZONING COMPLIANCE / No Te AND UTILITY CONNECTION PERMIT U ��`�t ` tyy ..NNESOlt. I. White File 2. Pint; city ( PERMIT NO. /6"-34e 1 (Please type or print and sign at bottom) Yellnw Applicant ADDRESS �r�F� �_ 13 n / I ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID 25, 2-S-4v• 001 .0 OWNER '�'),,po j (11.- f d Phone [�C/ �. (Address) BUILDER y� (Company Name KeQ' '"JCt.ot-NtjNAc ��� �/�j�3 * (Phone) j (Contact Name) - uC;(ry (Phone)rcy 2—� I' r 1z Co AA / (Address) �� � � CO �©�� �� �5� i TYPE OF WORK ❑New Const uction ❑Deck ❑Porch ❑Re-Roofing g ❑Re-Siding El Lower Level Finis/0 Fireplace ❑Addition 'Alteration ❑Utility Connection / CODE: !i : C. ❑LB.C. FJMisc. WoA Type of onstruction: I II III IV V A B Occupancy Group: • BE F HI MR SU PROJECT COST/VALUE $ 3Dtvcci 44 • Division: 1 2 3 4 5 (excluding land) I 1 have fur s.ed information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or uthorized agent for above-ereby ironedcertifythat propciYy a' at all consnvction will conform to all existing state and local laws and will proceed in accordance with submitted pla s. am aaware that the building official can re s er t just cause Furthermore,I hereby agree that the city official or a designeentgr upon the property to perform n' pecf ms. X p!(/l��I-j G/f Signature Contractor's License No. Date Ng Permit Valuation 301000, 00 Park Support Fee # Permit Fee $ 9. 5-0 SAC # $ / Plan Check Fee $ .?l� 5 4.r e Water Meter Size 5/8"; 1"; $ State Surcharge $ /JS`06 Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 5-X s� Water Tower Fee # $ Mechanical Permit Fee $ 7 Builder's Deposit $ Sewer&Water Permit Fee $ Other 4// $ Gas Fireplace Permit Fee I $ TOTAL DUEd� �j' - /7 i $ 8 4.4.;ve This App•/ :e , • i our Bi ilding Permit When Appr ed Paidel14 j I "^� .� Receipt No. ` �( Date ►fir : �, �, � `j � By �� .uildiF4 t D e This is to certify th th, 'quest in the above application and accompanying d uments i in accordance with the CityZoning Ordinance and may when signed by t it •anner constitutes a temporary Certificate of Zonin complia e and allows construction to commence. Before occupancy,y,a Cereed as requested.tocThis document b issued a Certificate of Occupancy must be 44000110b/rt t 17 f) 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 • • • • - .:rr.alka. Ye� ':r.:.waw'c:' - - •.,.- . ':.:- :4z... r.�-..ac, z:.> - < .,..:,,rt,+ :.x ..: �:.:.:- .. ,.na.ra� ez n�-. .,:.,. _ - ,,R�.. .'.v. '9t' ,.. .. .. ,:.. ..nwv. n.•r.�w '>�..x?. w -.w+.>.... .. r. .�. ._ "", •ae siq a:.: .. 'A2�,✓.:-:.rs+e-aer rn:.xr,..' A.9' P Wpb Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT '7, /I. Is- 4.00 I. Blue Fi ie PERMIT NO. /6-, 0 2. Goldpp <,34 / 1 T' S. YellowACApplicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 6 Si 3 Na rho r if P1. AJE Po 5_6 LEGALDESCRIPTION(office use only) / LOT ( BLOCK / ADDITION 11/1 0/e.. 7-e-1/e...i `T/ PID -• ds (Name) --e�� 'o u- 1 (Phone) 6�2 3/U T,,,7-7 C (Address) 6/ S7 3 Ala 1/•6 o r foz / E APPLICAN .. ,„(Name) (r/i r•-•< Y� Y) �PS 7 v J �Cldlr Ow l� (Phone) 6/0)- 3' ' !o E 4 9 (Address) 7/ZO / O, 'V Lk 12-0h�,Qy /0 (Addy ss) 1 ( ty) (Zip Code) (Contact Person) / (Phone) 6t2 '63‘a441 / APPLICANT SIGNATURE_ ___932 DATE 0 7- /7-/♦J APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins / Dishwasher Water Heater Floor Drain Water Softener Lavatory(Bathroom Sink) / Stand Pipe(Washing Machine) / Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly / Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 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 Residential,Additions&Alterations $49.50 The Minnesota Statutes§326B.148 net $ Building Permit# "SURCHARGE"has been extended ?LUMBING PERMIT FEE $ The minimum surcharge for a -STATE SURCHARGE $ .50 0) ` "fixed fee"permit is$5.00 TOTAL PERMIT FEE $ I C 1 ; This Application Becomes Your Building Permit When Approved 'aid O ceipt No. 1 lip' II.to By Building Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 rrtrQ� CITY�'OF PRIOR LAKE D � t� ' ti HEATING/AIR CONDITIONING/FIREPLACE PERMIT ����7777 v _ tri 15 g��AiVESOAP 1.Pink Fite P RMY 4:;#. 2.Ciree�e City ' I 0 (Please type or print and sign at bottom) 3.Yellow Applicant ADDRESS (a-�13 t" aC=r"' I e ) c,(" 5-5.3'1 ZONING(office use) 1 I LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) L6i 3 C.,C63 r 0, i fc,\--or Lc,. 31 APPLICANT (Name) i ild c in (Phone) 9:V.,A . '174 3,a- 1 (Address) i c,;-(42 0 �-, �. _ t 00124.....--c-A\ ill W 57Y39( (Contact Person) --« (Phone) 9,'%,�117C_63 3'.' I APPLICANT SIGNATURE �• ...„ e , ` Pf '---' DATE 74/1/j� iJ APPLICANT PLEASE COMPLETE BELOW ._ Mo'.i� ti Stye afkn .5 E ANEW CONSTRUCTION 0 REPLACEMENT [ALTERATIONS I FURNACE"MAKE AND MODEL FUEL 1tr Vc'r7 FLUE SIZE RETURN OPENINGS INPUT OUTPUT 1 RA.0 at. VtIf TYPE OF SYSTEM HEATING OR POWER PLANT El Warm Air Plants PLEASE NOTE:Air Conditioner ❑Stearn Units and Fireplaces Cannot Encroach QGravit}' ❑Hot Water 0Mechanical 0Radiation into Required Side YardSetbacks. QAie Conditioning ❑Special Devices Fireplaces with Box Additions or Cantilevers to the Outside of Buildings Q Vent. System Q Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE industrial,Commercial&Multi Family 1%of job cost Residential,Gas Fireplace $49.50 $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Heating Only(New Construction) 64 0 Residential,Additions&Alterations $49.50 Residential,AC Only $49.50 # �`5� . Cost$ . Building Permit ,S 4 0 HEATING PERMIT FEE $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date Date By 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION Ri,, cpRD SITE ADDRESS 6 5 71/ 6. NATURE OF WORKr�, faz `, 2. USE OF BUILDING z'�'` � PERMIT NO. - DATE I' SUED ? / CONTRACTOR � ���/ .)-s 6! - 71?t1INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE (Prior To Backfill) - ARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEPTIC FRAMING INSULATION 7/ �� ELECTRICAL PLUMBING V 1.50:0 /2k HEATING IliffaftL TEST R TARDER COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED FINALS reatkeitmarpmeR-TO SODDING) BUILDING gg l $2,/,4 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