HomeMy WebLinkAboutBuilding Permit 10.0361 of PRIJ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
9 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5 /110
AND UTILITY CONNECTION PERMIT
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2. Pink city PERMIT NO. /0 036 /
Yellow Applicant
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ADDRESS ZONING (office use)
L 295 & ? /Aiwo Cam!2cJ /CISrJ
LEGAL DESCRIPTION (office use only)
LOT/to BLOCK ADDITION G,2- /Ai W000 P/gf PID 3.6 033. 013. 0
OWNER
(Name) ,D0Al P F H A I P O C (Phone) 4 7 . 5 7a2_
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address) Xower
TYPE OF WORK El New Construction ❑Deck ❑Porch ❑Re- Roofing El Re-Siding Level Finish El Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: nI.R.C. f I.B.C. El Misc.
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0 P CITY OF PRIOR LAKE PLUMBING PERMIT
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. Gold City 1. Blue File
2 PERMIT N / 0 037
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
/� i ,, / ZONING (office use)
,/ - 4? �l � V fVO O D i,e- ,�/l.J ic
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID 2.C. 633. _ 0
OWNER nn �r
(Name) DOA/ Pf9i 7 Pti e / �/
(Phone) 4 47- 5722—
(Address)
APPLICANT
(Name) $ 4 '& 4-5 pl✓'vof (Phone)
(Address)
(Address) (City) (Zip Code)
(Contact Person) 1 / (Phone) f
APPLICANT SIGNATURE 4 a� /I'L__ DATE tit Z c J ii
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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
ost $ Building Permit #
The Minnesota Statutes § 326B.148
"SURCHARGE" has been changed for one PLUMBING PERMIT FEE $ 4 9 5b
year effective J June 2011. STATE SURCHARGE $ 5, 0 CO
July 1, 201f}, until ane 30, (1. �,
The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ ✓�¢, Q
is $5, beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid J ,,—� 5-0 Receipt No.( 63 d •
Date / Z /t B
Buildine Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
DEPARTMENT OF
P RIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 4 6/2-4//./( _
NATURE OF WORK G &/ t,61/6Z
USE OF BUILDING S / -
PERMIT NO. `0 • Oa& / DATE ISSUED 00//o
CONTRACTOR Pi9P PHONE 11-7, 572-2--
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
OM.
01111111111.11.1111111111.111111 I I I
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING oro 12‘ 17" V
INSULATION
ELECTRICAL y►
111111111111
I 1 L Vf J
HEATING (if required) 1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1
FINALS
BUILLDING Lty fb 3/2''/1
ELECTRICAL
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