HomeMy WebLinkAboutBuilding Permit 10.616 i
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
U N TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
v$:'1. ,c.‘" AND UTILITY CONNECTION PERMIT 7 /) g i I O
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t. White File
2. pier Cit PERMIT NO. (o "' 110
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS • ZONING (office use)
4 9 - 10 1 -u sr +i E.. 21. SD
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER `
(Name) JO 1'14 ^- 12.1.1.Ls04 (Phone) 952-44 -5 - 848
(Address) 1 4 ?S'I 1,0 GZ.-Vl ?be S T '4 I
944 0400
BUILDER
(Company Name) 0 -1 t J kD 1 U I D€ t'4P - (Phone) t? $ 2- 447 — 2- a $
(Contact Name) R 1 X (Phone) b 2 - 3 6 9 — 5 3 4 1
(Address) - TS - 1 - 7 iN . ( 5o A`Aln . MAL S53
TYPE OF WORK ❑ New Construction EDeck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition iNAlteration ❑Utility Connection
CODE: I.R.C. 11 DI.B.C. ❑ Misc:
Type of Construction I II III IV V A B Q �
Occupancy Group: A B E F 11 I M R S U PROJECT COST /VALUE $ f
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
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 = •y-.44 2.3 5 4 '1 ( 2.1' b
Signature Contractor's License No. Date
Permit Valuation 4 $ t 400. - Park Support Fee # $
Permit Fee $ ( 3 „ SAC # $
Plan Check Fee $ 4 . 5 Water Meter Size 5/8 "; 1"; $
State Surcharge $ 2.4.• 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 $ 1 1 t 7, e t 5
44-1-4-1-- / t / /
This . Lp� . . :.. .. Your Building Permit ved Paid // /'), r 9? ipt No. �� TO '
t� 1/ "� Date 7, 2 ,z„/ ° y .
AI t_ �f 7 Z l /o
: .'ding P' tc a to
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
issued.
7-a/---/0
P1
g Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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White - Building
Canary - Engineering
411NNE5W Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT t� `., _' } .
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
s ;_.
Accepted Accepted With Corrections
Denied
Reviewed By: Date:
Comments: Ad Caww.de- -Gloced - „ a c` #1,40 4444.o141 1,44
"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.”
e ry
White - Building
Canary - Engineering
/IivrvESO'cP Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1/ > 7 E)•cc 7 lkYc
APPLICATION RECEIVED / I l I 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t lit2_'=\
Accepted Accepted With Corrections
Denied
Reviewed By: Date: 7 ZO / v
1. P,tzo vr
Comments: 3/e." sr /2 wc rum- 0e4.14./iA
lv ROO F s ,4i 524-rn,' G
(A's p /0
Z - /p An i" c ,n_o i_ E-4-.0.5,00.4/774, r Fk-,./ce -
"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."
g PRI p4 ,
U t�i1
White - Building
�'IroNESO�P Canary - Engineering
Pink - Planning
BUILDING P RMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I i � •� � - r I N c
�
APPLICATION RECEIVED � �1r 1 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted ,, Accepted With Corrections
Denied / /
Reviewed By / / - . - - ` __ Date: 7 U
Comments: "'t <'L ? ;< LIG Us
A L/ 6
"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."
.� rRro
Date Rec'd
_I�` <Ir CITY OF PRIOR LAKE PLUMBING PERMIT
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1 vilEse I. Blue Fite
2 C Cit PERMIT NO. /Q o 77(
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
I 1s t a 9 t 4,: .e_r - . .1--
.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER ,, `l Q 1,
(Name) PAC%h n t . i c.1 �\ ? : t (Phone)
(Address)
APPLICANT J
(Name) ° h o i i _ i l t N � (Phone) 9Sa - Rciy -1) 0 6
(Address) la loci Z . -.rc.. PJ-e.- ,_.GUS e i
(Address) (Ci (Zip Code)
(Contact Person) , 1 lc,L (Phone) ( 1 a - 89'4 - ) G20
APPLICANT SIGNATURE 1 Cu-`c (Li' l.4QJA DATE 9 - l - k)
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
i 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
Estimated Cost $ Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ -S1 o�O
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 5 , / CD Re pt No . & /355
Date / / I°
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
L PRI0R BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS Wor6vEe2.5 .
NATURE OF WORK DEG K t Roo EXPANS td.
J
USE OF BUILDING K.Es A/R..
PERMIT NO. lo '. t to DATE ISSUED 7 Z /i o
CONTRACTOR n,n tt o w►a4» PHONE tell.. 361.534 I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING -2 P1e,ts 1 R.41 ?/z3)0
I to Backfill) 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING /j 9/6 / te
INSULATION 7 /,�
ELECTRICAL
PLUMBING U cl"' ,
HEATING (if required)
/q m) sr aa ,fir- kf " 614,0ers' /u /o,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1,4`046 1 7 1104f!o
FINAL
(Prior to Sodding)
BUILDING
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